Good News! The coverage gap is officially eliminated! If you’ve been concerned about the “donut hole” affecting your prescription drug costs, you can breathe easy—the Medicare Part D coverage gap is now a thing of the past. No more paying out-of-pocket for medications once you hit a certain spending threshold.

Here’s what this means for you:

• No more coverage gap: You’ll no longer have to worry about the donut hole when it comes to prescription costs.

• Lower drug costs: You may see reduced out-of-pocket expenses for your medications.

• Better peace of mind: With the gap eliminated, you can plan your healthcare needs without worrying about unexpected costs.

As a Medicare expert, I’m here to answer your questions and guide you through all the updates!

Are you currently enrolled in a Medicare Advantage (Part C) plan and considering a change? Whether you're looking to switch to Original Medicare (Part A and Part B) or explore other options, the General Enrollment Period (GEP) is the perfect time to make your move!

Here’s what you need to know: When: The General Enrollment Period runs from January 1st to March 31st, 2025.

Who: If you’re enrolled in a Medicare Advantage (MA) plan but want to switch back to Original Medicare (Part A and Part B), this is your window to make that change.

What to expect: If you choose Original Medicare, you’ll need to decide if you want to add a Medicare Prescription Drug Plan (Part D) for medication coverage.

You have to meet certain criteria to enroll during the GEP. Contact us to see if you meet those requirements.

Turning 65 Soon? Here’s What You Need to Know!

If you're turning 65 in the next 6 months, it's time to start preparing for Medicare! Whether you're planning to retire, keep working, or want to make sure you're covered, here’s a checklist of what you need to do:

Know Your Enrollment Period

Your Initial Enrollment Period (IEP) starts 3 months before your birthday month, includes your birthday month, and ends 3 months after. That’s a 7-month window to sign up for Medicare Parts A & B.

Decide on Your Coverage

Part A (Hospital Insurance) is typically free if you or your spouse paid Medicare taxes.

Part B (Medical Insurance) usually has a monthly premium. Consider whether you need it now or if you can delay it (e.g. if you're covered by an employer’s insurance).

Consider Additional Coverage

You might want to explore:

Medicare Advantage (Part C): A plan that bundles Part A, Part B, and sometimes Part D (prescription coverage).

Part D: Prescription drug coverage, if it’s not included in your Medicare Advantage plan.

Medigap (Supplemental Insurance): Helps cover out-of-pocket costs like copays and deductibles.

Check if You Need to Apply

You’ll be automatically enrolled in Part A and B if you're already getting Social Security benefits. If not, you’ll need to apply through Social Security.

Review Your Health Insurance

If you’re still working or have employer coverage, you may have options for delaying Medicare enrollment without penalties. Make sure to check with your employer’s benefits coordinator!

Prepare the Necessary Documents

Gather your birth certificate, Social Security number, and any other documents you may need for enrollment.

Don’t wait until the last minute! Enroll as soon as you’re eligible to avoid any delays in your coverage.

Have questions? Schedule a free 30-minute consultation.