
Medicare / Senior Products
Medicare is a national health insurance program for those age 65 and older. By working with Soos Insurance Agency, we will make sure you get the best Medicare plan and walk alongside you as you get insured with the best plan for you.
What Is Medicare?
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Medicare is the federal health insurance program for:
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People who are 65 or older
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Certain younger people with disabilities
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People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)
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The different parts of Medicare help cover specific services:
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Medicare Part A (Hospital Insurance)
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
Medicare Part B (Medical Insurance)
Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.
Medicare Part D (prescription drug coverage)
Part D adds prescription drug coverage to:
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Original Medicare
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Some Medicare Cost Plans
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Some Medicare Private-Fee-for-Service Plans
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Medicare Medical Savings Account Plans
These plans are offered by insurance companies and other private companies approved by Medicare. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare Prescription Drug Plans.
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NOTE
Medicare Advantage (also known as Part C) is an “all in one” alternative to Original Medicare. These “bundled” plans include Part A, Part B, and usually Part D.
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NOT SURE WHAT KIND OF COVERAGE YOU HAVE?
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Check your red, white, and blue Medicare card.
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Check all other insurance cards that you use. Call the phone number on the cards to get more information about the coverage.
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Call 1-800-MEDICARE (1-800-633-4227).
Medicare In 3 Easy Steps
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Contact Us
Fill out the contact form below to start the process. You can also call us at (269) 983-3700.
2
Meet With Us
Next, we will meet with you at our office to find the Medicare plan that best fits your needs.
3
Choose a Plan
Lastly, we will help you choose a plan and make sure you get enrolled in Medicare.
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What is Medicare?Medicare is a federal health insurance program, managed by the Centers for Medicare & Medicaid Services, for eligible United States citizens and legal permanent residents of five or more continuous years. You’re generally eligible for Medicare coverage if you’re 65 or older or disabled. You may also qualify for Medicare at any age if you have end-stage renal disease requiring dialysis or a kidney transplant, or amyotrophic lateral sclerosis (also known as ALS or Lou Gehrig’s disease).
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How do I get Medicare?At Soos Insurance, we will walk you through this entire process. All you have to do is contact us through email or phone and set up a meeting. From there, we will explain all of the details, but the three main steps are: Sign up through Medicare through Social Security. Choose your coverage. Complete your "Year 1: Medicare Checklist."
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Is my test, item, or service covered with Medicare?"Find out if your test, item or service is covered. Medicare coverage for many tests, items, and services depends on where you live. This list includes tests, items, and services (covered and non-covered) if coverage is the same no matter where you live. Click Here To See If You're Covered
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What does Medicare Part A cover?In general, Medicare Part A hospital insurance covers inpatient hospital care, skilled nursing facility, hospice, lab tests, surgery, home health care. Medicare Part A hospital insurance covers inpatient hospital care, skilled nursing facility, hospice, lab tests, surgery, home health care.
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What does Medicare Part B cover?In general, Medicare Part B (Medical Insurance) covers doctor and other health care providers' services and outpatient care. Part B may also cover durable medical equipment, home health care, and some preventive services.
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What do Medicare health plans cover?Generally, a Medicare health plan is offered by a private company that contracts with Medicare to provide Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) benefits to people who enroll in the plan. Medicare health plans include: Medicare Advantage Plans Other Medicare health plans Medicare Cost Plans Demonstrations/Pilot Programs Programs of All-inclusive Care for the Elderly (PACE) Medication Therapy Management (MTM) programs for complex health needs
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What about preventive & screening services?Part B covers many preventive services. Click HERE to see a partial list.
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What's not covered by Part A & Part B?Medicare doesn't cover everything. Some of the items and services Medicare doesn't cover include: Long-term care (also called custodial care ) Most dental care Eye exams related to prescribing glasses Dentures Cosmetic surgery Acupuncture Hearing aids and exams for fitting them Routine foot care Find out if Medicare covers a test, item, or service you need. If you need services Medicare doesn't cover, you'll have to pay for them yourself unless you have other insurance or a Medicare health plan that covers them.
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How much does Medicare cost?There is a lot that goes into how much Medicare will cost specifically for you, but here is a glance of the prices of Medicare in 2024: Part A Premium — Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A"). If you buy Part A, you'll pay up to $505 each month in 2024. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $505. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $278. Part A hospital inpatient deductible and coinsurance — You pay: $1,632 deductible for each benefit period Days 1-60: $0 coinsurance for each benefit period Days 61-90: $408 coinsurance per day of each benefit period Days 91 and beyond: $816 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime) Beyond lifetime reserve days: all costs Part B premium —The standard Part B premium amount is $174.70 (or higher depending on your income). Part B deductible and coinsurance — $240. After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and durable medical equipment (DME) Part C premium — The Part C monthly premium varies by plan. Compare costs for specific Part C plans. Part D premium — The Part D monthly premium varies by plan (higher-income consumers may pay more). Compare costs for specific Part D plans. The costs of Medicare plans are strongly regulated by the federal government. Any individual plan listed on our site carries the same costs and offers the exact same benefits regardless of whether you purchase it from our site, a government website, or your local insurance broker. Our commissions are paid by insurance carriers, so there is no additional cost to you, our consumer.