FAQ

FAQs for Grown Kids Helping Their Parents with Medicare

1. What is Medicare and who is eligible?
   • Answer: Medicare is a federal health insurance program for people aged 65 and older, and for some younger individuals with disabilities or certain medical conditions.
2. When should I start helping my parents with Medicare planning?
   • Answer: Start planning at least six months before your parents turn 65 to ensure they understand their options and meet enrollment deadlines.
3. What documents do I need to help my parents enroll in Medicare?
   • Answer: Gather their Social Security number, Medicare number (if applicable), proof of residency, list of current medications, and a list of their doctors and hospitals.
4. What are the different parts of Medicare?
   • Answer: Medicare has four parts: Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage plans), and Part D (prescription drug coverage).
5. What is the Initial Enrollment Period (IEP)?
   • Answer: The IEP is a seven-month period starting three months before the month your parent turns 65, including their birth month, and ending three months after.
6. How can I enroll my parents in Original Medicare (Parts A and B)?
   • Answer: You can enroll online at www.ssa.gov, by phone at 1-800-772-1213, or in person at your local Social Security office.
7. What is the difference between Original Medicare and Medicare Advantage (Part C)?
   • Answer: Original Medicare includes Part A and Part B, while Medicare Advantage (Part C) combines Parts A, B, and usually D, and may offer additional benefits like vision, dental, and hearing.
8. What are Medigap plans?
   • Answer: Medigap (Medicare Supplement) plans are sold by private companies to cover costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles.
9. How do I choose between a Medicare Supplement Plan and a Medicare Advantage Plan?
   • Answer: Compare coverage, costs, provider networks, and additional benefits. Consider your parents’ healthcare needs and preferences.
10. What is the Open Enrollment Period for Medicare Advantage and Part D plans?
    • Answer: The Open Enrollment Period is from October 15 to December 7 each year, during which you can make changes to your parents’ Medicare Advantage and Part D plans.
11. What is a Special Enrollment Period (SEP)?
    • Answer: SEPs are triggered by specific events, such as losing employer coverage, allowing enrollment outside of standard periods.
12. How can I compare different Medicare plans?
    • Answer: Use the Medicare Plan Finder tool on www.medicare.gov to compare plans based on coverage, cost, and provider networks.
13. What should I consider when selecting a Medicare Part D plan?
    • Answer: Ensure the plan covers your parents’ medications, check the formulary, compare costs, and review pharmacy networks.
14. How do I apply for a Medicare Supplement Plan (Medigap)?
    • Answer: Contact the private insurance company offering the Medigap plan, complete the enrollment forms, and provide any required documents.
15. What are the costs associated with Medicare?
    • Answer: Costs include premiums, deductibles, copayments, and coinsurance. Costs vary based on the plan and coverage selected.
16. Can my parents change their Medicare plans after enrolling?
    • Answer: Yes, they can change plans during the Open Enrollment Period or if they qualify for a Special Enrollment Period.
17. How do I handle Medicare claims and appeals for my parents?
    • Answer: Use the Appointment of Representative Form (CMS Form 1696) to act on their behalf for claims and appeals.
18. What if my parents have other insurance?
    • Answer: Medicare coordinates with other insurance, such as employer coverage. Complete the Medicare Initial Enrollment Questionnaire (IEQ) to coordinate benefits.
19. How can I get help with Medicare planning for my parents?
    • Answer: Contact your State Health Insurance Assistance Program (SHIP) for free, personalized counseling, or email us at info@medicareformyparents.com.
20. How do I keep up with changes in Medicare?
    • Answer: Subscribe to our newsletter, follow our blog, and stay informed through official Medicare resources and updates.

For personalized assistance and answers to more questions, feel free to email us at info@medicareformyparents.com. We’re here to help!