FAQs

1. I'm Still Working and Have Employer Health Coverage. Do I Need Medicare?

If you have employer health coverage and are 65 or older, you can generally delay enrolling in Medicare Part B without penalties as long as your employer coverage meets certain criteria. Consult with your employer's benefits department and a Medicare advisor to make an informed decision based on your specific situation.

2. Are Medigap Plans Expensive?

Medigap plans have monthly premiums, but they often provide comprehensive coverage, which can save you money in the long run. Consider a cost-benefit analysis that weighs premiums against potential out-of-pocket costs with Original Medicare alone. Explore different Medigap plans to find one that fits your budget and healthcare needs.

3. Do Medicare Advantage Plans Have Limited Networks?

Many Medicare Advantage plans have broad provider networks, including primary care physicians and specialists. Review the network to ensure your preferred healthcare providers are included. Options like "direct access" or "open access" plans allow you to see specialists without referrals.

4. I Don't Want to Deal with Referrals in Medicare Advantage.

Not all Medicare Advantage plans require referrals to see specialists. Consider plans with "direct access" options, which eliminate the need for referrals. This can offer the convenience of primary care coordination while allowing you to see specialists when needed.

5. I Travel Frequently, and I'm Worried About Costs with Medigap Plans.

While Medigap plans primarily cover in-network costs, some offer limited out-of-network coverage or coverage during emergencies when traveling. Frequent travelers may also explore Medicare Advantage plans, which often include different out-of-network care options and worldwide emergency coverage.

6. What About Costs with Chronic Health Conditions in Medicare Advantage?

Medicare Advantage plans cap annual out-of-pocket expenses, providing financial predictability even for those with chronic conditions. Review plan details, such as copayments and prescription drug coverage, to ensure they meet your specific healthcare needs.

7. I Don't Want to Change My Current Plan.

While comfort with your current plan is important, it's crucial to review plans annually during the Medicare Open Enrollment Period (October 15 to December 7). This ensures that your current plan still provides the best coverage and value. We can assist with plan comparisons.

8. I Don't Want to Pay Extra for Prescription Drug Coverage.

Many Medicare Advantage plans include prescription drug coverage (Part D) at no additional premium. Having drug coverage is important to avoid late enrollment penalties. Explore plans that match your medication needs.

9. I Prefer Traditional Medicare Because I Can See Any Doctor.

Original Medicare offers flexibility, but some Medicare Advantage plans have broad networks with a wide range of healthcare providers. Verify that your preferred doctors are in-network. Remember, you can generally switch plans during the Annual Enrollment Period if needed.

10. How Do I Get Help or More Information About Medicare Plans?

You can reach out to our licensed and trusted insurance advisors with any questions. Additionally, Medicare.gov is a valuable resource for information and plan comparisons.

We are dedicated to being your healthcare partner, working closely with you to craft a coverage solution that aligns perfectly with your unique needs, medical concerns, and lifestyle choices.

Our mission is to provide you with the knowledge and options necessary for making the best informed decisions about your healthcare. Your health and well-being are at the heart of every recommendation we make.

“I can't express how grateful I am for the incredible support and guidance I received from New Found Horizon during my Medicare enrollment journey. I was completely overwhelmed and confused about the numerous plans and options available. I had a specific medical condition that required coverage without copay, and I was concerned about finding a plan that also fit my budget.

Gustavo not only demystified the entire Medicare process but also took the time to truly understand my medical needs and financial constraints. He went above and beyond, searching for the perfect plan that not only covered my condition without any copays but also aligned perfectly with my budget. Thanks to their expertise and dedication, I now have a Medicare plan that provides me with the peace of mind I was desperately seeking. I can't recommend their services highly enough; they truly changed my life for the better!"

— CHARLIE D., NEW FOUND HORIZON CLIENT