Senior Financial

Group

www.sfgmedicare.com

Demystifying Medicare

What Will We Cover

Who is Senior Financial Group & About Me

History of Medicare

Eligibility for Medicare

When/How to Enroll in Medicare

Medicare Part A, B, C, D

Medicare Advantage vs Medicare Supplement

How we can help you, your family and friends

Q&A

www.sfgmedicare.com

Who is Senior Financial Group?

Founded in 1983

2000 Licensed Life & Health Insurance Agents in 46 states

Represent over 35 of the most reputable Companies

Offer Medicare plans, Life Insurance, Dental, Marketplace, LTC, & more

Educate & Guide Clients for FREE

Enroll in Government Programs

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Heather Majka, CPCU, CSSCS

25 Years of Insurance Experience

With Senior Financial Group for 10 years

Oversight of Agents, Training, Compliance, Education, and Customer Service

Certified Social Security Claiming Strategist

www.sfgmedicare.com

LBJ enrolled President Truman as

the first Medicare Beneficiary

LBJ signed Medicare into law July 30, 1965

History of Medicare

The average person retiring was male. The average life expectancy was 68 years! Medicare Part B cost just 3 dollars per

month. 19 Million People signed up the first year

Insurance options started in 1976 Part D began in 2006 Evolution of Program continues…

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Average Life Expectancy now: 78 years

Average Life Expectancy in 2020: 89 years

Over 55 Million Enrolled in Medicare as of 2015

17% are under 65

Then & Now

How Do I Qualify?

Age 65 + U.S. citizen/legal resident + 10 years working in

Medicare covered employment

Under Age 65 and deemed disabled by Social Security for at least 24 months

ESRD or ALS (any age)

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How Do I Enroll? Auto Enrolled (part A & part B) if collecting Social Security

Visit www.ssa.gov or call 1-800-772-1213 or go to local office (we can help)

If you or your spouse work and have health insurance you may be able to delay part B

If you don’t enroll timely – enrollment restrictions & penalties may apply

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When Can I Enroll?

When you turn 65 (7 month window)

When you retire if after 65 and loosing creditable coverage

Similar timeframes for part C & part D in addition to Annual Enrollment Window 10/15 – 12/7

Coverage CANNOT be back dated

List not all inclusive, work with an expert

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What does

Part A cover?

Inpatient

Hospital

Home Health

Care

Skilled Nursing

Hospice

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2017 Medicare Part A Costs Per

Benefit Period

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Benefit Period

Home and out of the

hospital (or skilled

nursing) for 60

consecutive days without

receiving care

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2017 Medicare Part A Costs Per

Benefit Period

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Understanding Part B Costs

Must Pay a Monthly Premium

Medicare Part A is Free if you worked enough but Part B has a monthly premium and it changes annually

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Medicare Part B

• Monthly Premium• Yearly Deductible• 20% Co-Insurance

Part B Covers:

Doctor visits

Diagnostic Tests

Some preventive services

Ambulance & Emergency Room

Durable Medical Equipment

Physical Therapy

Mental Health

Medical Supplies

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Video

How does Medicare

Work

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Video

Medigap

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Some Key Differences

Health Questions Required? YES NO

Regulated by State? YES NO

County Residency Requirements? NO YES

Enrollment Periods? NO YES

Includes Prescription Drug Coverage? NO YES

Video

Medicare

Advantage

Medicare Part D

All Plans have tiers/formulary & coverage rules

All Plans based on Calendar Year

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Things To Consider

Who can you trust?

Where do you want to get care now & in the

future?

What medications do you take?

What will you total medical costs be (including

premiums, co-pays, etc.)?

Do you travel much?

Are you will to re-evaluate your decision every

year?

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We Can Help

Agents Licensed in 46 States

1-800-677-0153

865-777-0153

www.sfgmedicare.com

What type of Help do we

Provide?

Questions for HR & Benefits Administrators

Determining Creditable Coverage

Analysis of coverage continuation, comparison and

coordination

Social Security Planning

Community Resource Referrals

Patient Assistance Programs & Foundations

www.sfgmedicare.com

Medicare.govTricare.mil

Va.govSHIP 1-877-801-0044

ssa.govSS 1-800-772-1213

Healthcare.gov

VISIT US ON THE WEB AT

SFGMEDICARE.COM

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www.facebook.com/sfgmedicare

Follow us on Twitter at

www.twitter.com/sfgmedicare

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Tell friends & family about us

Stay up to date & thank us

A few of our clients…

Q & A