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Connect One Health is your expert at guiding you through the Medicare health plan maze. We are here to help you understand your choices and answer all of your questions about Medicare, Medicare Advantage, and the Prescription Drug plans. We can help you with questions about Supplemental Insurance, and Medicare B. We are patient, and we explain things in plain English.

There are several ways to contact us. You can call us toll free at 1-877-766-4448 to talk with one of our helpful professionals. You can also chat live with one of professionals through our Internet Chat link. We are here to make this easy for you. Contact us today.

Questions? Call Us at 1-877-766-4448

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Medicare: Basics

Quick FAQ

Am I Eligible for Medicare?If you are age 65 then you are probably eligible for Medicare. If you have a qualifying disability then you may also qualify for Medicare. For either case, you must be a U.S. citizen or a permanent resident of more than 5 years to qualify for Medicare once you are age 65.

If you do have a qualifying disability or illness and have been disabled for more than 24 months then you should also qualify for Medicare. The enrollment process is usually automatic, but in some cases you must enroll yourself. If you want to qualify for Medicare C or Medicare D you must first be qualified for, and enrolled in Medicare part A and B.


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Medicare vs Medicaid: What is the Difference?The Difference between Medicare and Medicaid is really about who is involved. Medicare is a Federally sponsored health plan while Medicaid is a Federal and State sponsored Health Plan. Medicare is available for qualifying people who are aged 65 or older or those people who have suffered a qualifying disability for more than 24 months. Medicaid is available to people who have limited income and limited resource.

Those people may be children, women who are pregnant, seniors with low incomes, parents, and people with disabilities. In some cases, an individual may be eligible for both Medicare and Medicaid. When that happens Medicare is the primary payer and Medicaid helps to cover medical expenses after Medicare has paid. Note: Rules differ from State to State about qualification for Medicaid and dual beneficiaries.

Learn more about the differences between Medicare and Medicaid here!


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What is Medicare?Medicare is a health insurance plan that is owned and managed by the Federal Government. Medicare is found within the Department of Health and Human Services and managed by the Centers for Medicare and Medicaid Services.

Medicare is a government sponsored health program that most people automatically qualify for once they reach the age of 65. Medicare is also used to support medical insurance for people with qualifying disabilities and who are younger than 65 years of age.

Medicare is divided into four categories. Those are Medicare A, B, C, and D. Medicare A covers inpatient services like hospitalization. Medicare B works in conjunction with Medicare A to cover outpatient services such as doctors visits and therapy visits. Medicare A and B are often called Original Medicare.”

Medicare C is Medicare A and B but managed by third party health systems such as Kaiser. Medicare D is the prescription drug coverage that goes along with Medicare A, B, and C. Most Medicare C plans come with a variation of Medicare D. Medicare C is also referred to as Medicare Advantage.

To qualify for Medicare you need to have worked and paid into the program for a certain amount of years. If you have not qualified by working, you may still be eligible for services, but the penalty is a higher cost each month.

Questions? Call Us at 1-877-766-4448

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What is Medicare Part D?Medicare Part D is the Prescription Drug plan that works with both Medicare A and Medicare C (Medicare Advantage.) Though Medicare C plans almost always have a prescription drug plan associated with them. Medicare D is not issued by the government it is bought from private insurance companies.

Medicare D prescription drug plans all must meet a set of criteria in terms of what they offer, but the plans are not identical. They differ in price and what they offer.

Things to be aware of are deductibles, co-payments, and how each plan works with co-insurance. Another consideration is whether or not there is an Annual limit on how much your Medicare D plan will cover. IF you max out an annual limit you will have to pay full price for medications for the rest of the year.

Medicare D works like other insurance plans. You will pay full price for medications until your annual deductible is met. Once the deductible is met your cost for medications will be reduced to a co-pay. You will likely receive a monthly premium to pay to keep coverage in place.

Questions? Call Us at 1-877-766-4448

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