Jen Peppe Hahn Independent Insurance Agent
Making health insurance understandable, one customer at a time
Maryland and DC Licensed
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HOSPITAL
HOSPITAL
COST
Days 1-60, $0 after you meet the *$1,676 Part A Deductible per benefit period
*(All Medigap Plans except for A, K, L and M cover this deductible 100%, there is also no Part A deductible if you opt for Part C)
COVERAGE
Inpatient Care (Part B covers physician fees)
Home Health Care (after a 3 day inpatient stay)
Skilled Nursing Facility (after a 3 day inpatient stay)
Hospice
TIMING
3 months before you turn 65
The month you turn 65
3 months after you turn 65
Or
Older than 65 and within 8 months of losing Coverage such as through an Employer
*(Some people opt in to Part A as soon as they turn 65 even if they delay Part B, because for most people Part A costs $0)
PROCESS
Create an account on SSA.GOV to apply
Or call the Social Security Administration
Or make an appointment with your local Social Security Office
MEDICAL
MEDICAL
COST
Pays 80% of your Medicare Medical Costs
You pay a premium based on your tax returns
You pay a $257 deductible
COVERAGE
Doctor Visits
Lab Tests
Outpatient Care
Mental Health
Durable Medical Equipment
Ambulance Services
Go anywhere that accepts Original Medicare
No referrals
TIMING
3 months before you turn 65
The month you turn 65
3 months after you turn 65
Or
After you are 65 when you lose Coverage such as through an Employer
*If you do not enroll during one of the above times, you may face a lifetime late penalty of 10% for every 12 months you were not enrolled when eligible
PROCESS
Create an account on SSA.GOV to apply
Or call the Social Security Administration
Or make an appointment with your local Social Security Office
MEDICARE ADVANTAGE PLAN
MEDICARE ADVANTAGE PLAN
COST
Premiums, Deductibles and set co-pays per service vary By carrier and plan. You still have to pay your Part B Premium as well
Mainly in network services or pay more
COVERAGE
Everything that Part A and B covers, plus sometimes prescription drug coverage, dental, vision and other perks which vary by carrier and plan
Generally need to stay in network
Referrals and Prior Authorizations typically needed
TIMING
3 months before you turn 65
The month you turn 65
3 months after you turn 65
Or
After you are 65 when you lose Coverage such as through an Employer
Or
During AEP (Oct 15- Dec 7)
*Check your plan during the Annual Enrollment Period (AEP) yearly, (October 15- December 7) to Determine if your plan’s formulary and cost will still be your most suitable option starting in January when plans change
PROCESS
Through an agent/broker
On Medicare.gov
Through your local SHIP office
Through a carrier
PRESCRIPTION COVERAGE
PRESCRIPTION COVERAGE
COST
Premiums, deductibles, costs, and formularies vary by carrier
COVERAGE
Prescription drugs
TIMING
3 months before you turn 65
The month you turn 65
3 months after you turn 65
Or
Older than 65 and within 63 days of losing Coverage such as through an Employer
*If you do not enroll during one of the above times, you face a lifetime late penalty of 10% for every 12 months you were not enrolled when eligible
PROCESS
Through an agent/broker
On Medicare.gov
Through your local SHIP office
Through a carrier
*Check your plan during the Annual Enrollment Period (AEP) yearly, October 15- December 7 to Determine if your plan’s formulary and cost will still be your most suitable option starting in January when plans change
MEDIGAP/
MEDIGAP/
SUPPLEMENT PLAN
SUPPLEMENT PLAN
COST
Premium varies by carrier, zip-code and Plan letter/option. Coverage varies by Plan letter/option. Plan G, for example, covers the 20% Coinsurance that Medicare Part A and Part B do not cover plus all of Part A's deductible. Plan N covers the same but you pay a $20 copay to see a doctor and $50 for an ER visit. All letters/plans are standardized respectively i.e.: carriers cannot offer different coverage for the same letter plan as another carrier, only the cost per carrier varies
COVERAGE
No Networks (Can go anywhere that accepts Original Medicare)
No Prior Authorizations
No referrals
Pays some or all (depending on letter) of what Part A and B do not cover
TIMING
During the first 6 months of having Part B Medigap Plans are Guaranteed Issue
*After that you are subject to underwriting and It may be difficult to enroll
PROCESS
Through an agent/broker
On Medicare.gov
Through your local SHIP office
Through a carrier
Disclaimer: I do not offer every plan available in Maryland and DC. Any information I provide is limited to the plans I do offer in your area. If I do not sell the plan that would be the most suitable for you, I will tell you. To see all plans in your zip code, go to https://www.medicare.gov/ call 1-800-MEDICARE or visit your local State Health Insurance Program (SHIP). The options and examples presented on this website are not representative of a complete set of your choices. To personalize your options please fill out the contact form, call me, or send me an email.
301-698-8902 JEN@JPEPPEHAHN.COM2
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