FAQs

  • Medicare is a federal health insurance program that primarily serves individuals aged 65 and older, along with certain younger people who have disabilities or specific medical conditions. It helps cover various healthcare costs.

  • Medicare is divided into four parts:

    • Part A: Covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care.

    • Part B: Covers outpatient care, doctor visits, preventive services, and some home health care.

    • Part C: Known as Medicare Advantage, these are private plans that combine coverage from Part A and Part B, often including additional benefits like vision and dental.

    • Part D: Provides prescription drug coverage through private insurance companies.

  • To ensure you’ll always have coverage, it’s important to know your enrollment periods.
    This includes three months before, the month of, and three months after your 65th birthday.

    Annual Enrollment Period (AEP)
    You can enroll in or change your Medicare plan from October 15 through December 7 each year.

    Medicare Advantage-Open Enrollment Period (MA-OEP)
    If you’re enrolled in a Medicare Advantage (Part C) plan, you may be able to change your plan from January 1 to March 31. You can change your plan only once during this time period.

    Special Enrollment Period (SEP)*
    You may be able to enroll in or change Medicare plans if you:

    • Lose employer coverage

    • Move to a new service area

    • Qualify for or lose full Medicaid eligibility

    • Live in, or move in or out of, an institution

    Some life changes may qualify you for a Special Enrollment Period. Call us or check your enrollment form for more information.

  • Original Medicare consists of Parts A and B and is managed by the federal government, allowing you to see any provider that accepts Medicare. Medicare Advantage plans are offered by private insurance companies and may provide additional benefits beyond what Original Medicare covers, such as vision and dental care.

  • Choosing the right plan involves assessing your healthcare needs, budget, and preferred providers. We can help you compare different plans and find one that fits your needs best.

    • Premiums are the monthly payments you make for your Medicare coverage.

    • Deductibles are the amounts you must pay out-of-pocket for healthcare services before Medicare starts to cover costs.

    • Copayments are the fixed amounts you pay for specific services, like doctor visits or medications.

  • Yes, if you don’t enroll in Medicare when you first become eligible, you may incur late enrollment penalties. These penalties can result in higher premiums for as long as you have Medicare coverage.

  • Yes, many individuals qualify for both Medicare and Medicaid, known as dual eligibility. This can help cover additional costs that Medicare does not.

  • Contact GoldenOps Financial Services! We offer personalized assistance to help you understand your options, answer your questions, and guide you through the enrollment process.

  • You can reach us at (562) 614-4043 or via email at goldenopsfinserv@gmail.com. Our team is here to assist you with all your Medicare needs!