When you are first eligible for Medicare and during specific times of the year, you can choose between two options for your coverage: Original Medicare (Part A & B) with a Medicare Supplement, or a Medicare Advantage Plan (Part C).
We can help you determine which plan is the best fit for you based off of your needs and your budget
There are four parts of Medicare. Part A and B are Original Medicare-administered by the federal government. Part C and D come from private companies that are contracted with Medicare one year at a time to provide services.
Part A of Medicare helps to pay for medical care that is received if you have been officially admitted to a hospital or other similar facility such as a skilled nursing center, rehab center, or hospice care. Your Part A coverage will begin 6 months back from the date you apply for Medicare or Social Security benefits, but no earlier than the first month you were eligible for Medicare. Your coverage will begin the first day of your birth month. You usually do not have to pay a monthly premium for Part A if you or your spouse have worked for 10 years and paid Medicare taxes. If you are not eligible for a premium-free Part A, you may be able to buy Part A. If you are not eligible for premium-free Part A and you do not enroll when you are first eligible, your premium may increase by 10% for twice the number of years you could have had Part A coverage but did not enroll. The Medicare Part A deductible is $1,484 per benefit period for the year 2021.
Part B of Medicare is any medical care you require that is not covered by Part A such doctor visits, testing, treatments, physical therapy, ambulance, emergency room, outpatient treatments, etc. Part B also covers many preventative services-healthcare to prevent illness or detect illness at an early age, when treatment is likely to work best. This includes your yearly wellness visit, diabetes screening, flus shots, screening mammograms, and more. If you are receiving Social Security payments prior to turning 65 you will automatically be enrolled in Part B of Medicare unless you take action to opt out. If you are not receiving Social Security, you will need to take some action to enroll in Part B of Medicare. You can do this by contacting your Social Security administration office by phone or by going online. The cost of your monthly premium is determined by many factors including your income. The normal monthly premium for Part B is $148.20 (2021), but if your income exceeds $87,000 as an individual or $174,000 jointly, you are subject to a higher premium. The premium is paid through Social Security. If you are not yet drawing Social Security, the premium will be billed to you directly. If you or your spouse are currently working and you have creditable coverage through your employer, you can postpone signing up for Part B with no penalty. If you are not currently working and do not have creditable coverage, and you do not sign up for Part B during the enrollment period, you will be subject to a 10% penalty. The Part B deductible ($203 in 2021) must be met before Medicare will pay for medical insurance. This deductible is paid annually and resets every year in January. Once your annual deductible has been satisfied, Medicare will pay 80% of your Part B medical care. You will then be responsible for a 20% copayment for all Part B care received during the remainder of that calendar year.
There are no pre-existing condition restrictions for Parts A or B, meaning Part B will cover any outpatient need related to your pre-existing conditions such as asthma, diabetes, and cancer.
We went to a class that Seniors Benefits had which started to answer many questions that we had and hooked us up with Katie. She helped me through the whole process of obtaining Medicare and a supplement insurance. She was patient and answered all my questions and made sure that I had a complete understanding of this whole process. I highly recommend using seniors benefit and there is no cost to use them.
- Pamela Bentz
I called the office asking if they could help me with my medicare benefits. My call was transferred to Katie. She answered all my questions and was very knowledgeable. I was told she would check on something for me and called me back with additional information. I was very pleased with the service, Katie was professional and was very helpful. I would highly recommend them.
- Barbara Ritchey
Seniors Benefit has been so helpful to me from the time I first became eligible for Medicare. I was so confused in the beginning as to how to choose what plans I wanted and they were excellent in explaining it all to me. Plus they help me every year to make the best cost-saving choices. I highly recommend Seniors Benefit!
- Joanne Mitchell
Understanding and navigating the Medicare system was so much simpler with the professional help of Seniors Benefit. Wally provided an easy to understand presentation at our local library and patiently answered all the questions from his audience. As a followup to the presentation, Katie at Seniors Benefit listened to what I needed in health/dental/supplemental policies and found the best fit for me. She made the whole decision process so much easier and stress free. I'm looking forward to a yearly Plan D evaluation by Seniors Benefit to make sure I continue getting the best drug plan for my money.
I have used Seniors Benefits for nearly 10 years originally when we lived in Hot Springs Village, Arkansas and then later when we moved to Lawrence, Kansas. From the beginning Wally Stone explained all my options for prescription drug coverages and my supplement insurance. Anytime I had a question, Wally or someone in his office would promptly call me back. This is very important to me since it is difficult to get anyone to actually return a call. Also Wally or someone in his office handles the paperwork. I have always referred people to Seniors Benefits and will continue to do so.
- Charles Klepfer
We have used Seniors Benefit for a number of years and office staff are always very helpful and get us through the maze each year. They work hard researching all the plans and comparing our needs with the many plans. Thank you for your diligent work.
- Jan Murray
Best of the best. Wally is great at helping with insurance needs and saving u money. His staff is very friendly and helpful. Would not use anybody else.
- Anita Dickinson
Katie was the best. She was more than helpful with this complicated Medicare system. Would recommend this company highly.
- Dawn Rubio
Our accountant recommended Wally. Greeted with a smith upon entry. Everyone spoke to us,made us feel appreciated and welcome. Wally guided us through the sing up process leaving us fully informed. Also explained what to expect in mail the next few weeks. Entire process was extremely smooth and exactly as he communicated. We will definitely recommend Wally @ Senior Benefit. Mike and Kim
- Kim Hutzel
Thanks to Mrs Katie and the entire team at Seniors Benefit for everything they did going above and beyond to help navigate the confusing waters of the Medicare system. Senior Benefit has been there throughout every step of this long, often mind boggling journey. Providing me with much needed guidance and materials in order to make a well informed decision as possible. Keep up the good work.
- Charles Stroud
My grandmother had been doing business with these people for a long time and I have never heard her say one negative thing about them! They always are looking out for her and find her the best deal for her situation! We love them!!
- Michelle Blancher
Seniors Benefits....ie.....Mr. Wally Stone has handled our Medicare supplemental and Part D insurance needs for 7 years now. They are extremely professional, and always keep our best interest in mind. I am always confident that we are using the insurance company that is giving us what we need for the lowest premium. Mr. Stone has even assigned my wife to a different company that myself in order to keep our costs under control. GREAT COMPANY. I RECOMMEND THEM TO ALL MY FRIENDS.
- Gary Buettner
The very professional staff at Seniors Benefit is the BEST!!!!! They always help me guide my decisions with expert advice...PLUS, they are ALL so friendly and accommodating . I am MORE than pleased with their services!
- Marcia Cash
Outstanding service from everyone at Seniors Benefit from the first time I spoke with them No pressure to use them, but they were so helpful that I wouldn't have used anyone else. They were always prompt about responding to my questions and went above and beyond to help with my needs. I would strongly recommend them to anyone and have referred several friends to them that were in need of any services they offer.
- Heidi Nash
I have been using this company since 2010 and could not be happier. They know the laws and stay on top of all changes on my behalf. They make sure I am getting up to date care and benefits. It's really nice to have someone genuinely looking out for my best interest.
- Rachel Rose
Navigating the medicare insurance options is not easy. Senior Benefits was extremely helpful. They are very knowledgeable about the benefits/insurance that was available in my county. They were also timely on their responses, helping with forms, etc. I would highly recommend them.
- W Johnson