The Medicare Advantage and Prescription Drug Plan Annual Election Period (AEP) is the time in which individuals seeking Medicare health insurance coverage may either apply for a new policy or renew an existing policy each year. The period typically runs from October 15th to December 7th every year.
A period of time during which a Medicare-insured individual is covered for all healthcare received. It starts when the insured is admitted to a hospital or short-term care facility and ends when the individual has been home for a consecutive number of days specified by the type of Medicare plan that they’re enrolled in.
A plan that requires the insured to obtain healthcare services only from service providers and hospitals that participate in the plan’s network. Should the insured choose to obtain healthcare from a provider or hospital outside of the network, all ensuing medical bills will not be covered by the insured’s plan.
The dates on which eligible individuals seeking Medicare health insurance coverage for the first time may apply for a new policy. Typically, this period starts three months before the month that the insured turns 65 and ends three months after the insured’s 65th birthday (totaling 7 months).
A Medicare Advantage plan, also known as Medicare Part C, is a health plan offered by private insurance companies contracted with Medicare that provide the same coverage as parts A and B of Original Medicare. When you enroll in a Medicare Advantage Plan most of your Original Medicare health services will be provided by and managed by your plan.
A reference to the Medicare Part A plan, which is the part of the original Medicare plan that provides coverage for healthcare received during a hospital stay and/or during time spent in a skilled nursing facility.
A reference to the Medicare Part B plan, which is the part of the original Medicare plan that provides coverage for healthcare received during doctor’s appointments and other medical services provided on an out-patient basis.
A reference to the Medicare Part C plan, which is Medicare Advantage. Medicare Advantage plans are offered by private insurance companies contracted with Medicare and include all the provisions of Medicare Part A and Part B plans.
A reference to the Medicare Part D plan, which is the part of the original Medicare plan that provides assistance for prescription drugs. Part D plans are offered by private insurance companies contracted with Medicare.
A Medicare Advantage plan that allows the insured individuals to receive healthcare from providers and hospitals outside of the plan’s network. These plans typically have a higher copayment or coinsurance than other plans that only cover services provided by in-network providers.
A Medicare Advantage plan that lets insured individuals obtain healthcare from both in-network and out of network service providers and hospitals. Similarly to POS plans, obtaining healthcare services from out-of-network providers will most likely result in an increased out-of-pocket expense to the insured.
A type of Medicare Advantage plan that lets the insured obtain healthcare from any service provider or hospital that is eligible under the provisions of the insured’s Medicare plan. The plan determines how much it will pay providers and how much you must pay when you get care. The treating doctor has to accept the plan’s payment terms and agree to treat you. If the doctor doesn’t agree to those terms, then the PFFS plan will not cover services through that doctor.
A Medicare Advantage plan especially for people who have certain special needs such as beneficiaries living in institutions, those who are dual-eligible for Medicaid and Medicare, and those with chronic conditions.
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Plan availability varies by region and state. To request information without providing personal information, please call the phone number listed above. By completing the quotes form or calling the above number, you can be directed to a licensed insurance agent who can provide more information about your options and answer your questions via a third-party partner of MedicareMatchup. Participating sales agencies represent Medicare Advantage HMO, PPO, PFFS organizations that are contracted with Medicare. Enrollment in any plan depends on contract renewal. This is a solicitation for insurance, and the information is not a complete description of benefits or coverage options. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
Outside of the Medicare Annual Enrollment Period, members can enroll in a plan only if they meet certain criteria. A licensed insurance agent can help you determine whether you are eligible.