Becoming eligible for Medicare is a milestone in your life. Let us help you understand when you qualify, when you can enroll and answer your important questions.
If you are turning 65, you can apply for coverage beginning three months before your 65th birthday, the month of your 65th birthday and three months after your 65th birthday. If you are disabled, you can contact us for more information.
You may also be eligible to apply if you meet criteria for a Special Enrollment Period for individuals who, for example, have recently moved to our service area or recently qualify for Medicare. If you have questions about the Special Enrollment Period, you can contact us for more information.
You can enroll if you are entitled to Medicare Part A and are enrolled in Medicare Part B. You must also reside in a county located within our service area.
Medicare Advantage plans are offered through private insurance companies, like SummaCare. They are designed for those who are eligible for Medicare and they offer more coverage and lower out-of-pocket costs than Original Medicare. Most Medicare Advantage plans include Part D prescription drug coverage and extra benefits not offered by Original Medicare.
These types of plans offer coverage for Part D prescription drugs only. To enroll in this type of plan you must physically enroll by contacting a plan and completing the appropriate paperwork. You cannot or will not be automatically enrolled in this type of plan once you become eligible for Medicare.
An HMO plan typically only covers in-network benefits. To receive in-network benefits, you must seek care exclusively from providers in your network. With an HMO plan, you will be responsible for paying the cost of all care that is provided by non-network/out-of-network providers unless the care you receive from the non-network/out-of-network providers is pre-authorized or is for emergency or urgent care services.