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Many Insurance Carriers are withdrawing PPO plans in areas. Plans are not renewing for 2026.
Medicare Supplement Rates are going up, and many states have passed the "Birthday Rule" that allows guaranteed issue rights, influencing premium rates. Some Carriers have even discontinued their plans in some states.
Prescription Drug Premiums are going up, as well as potential copays and deductibles on plans
Now is more important than ever to look at your plan and make sure you are on the right plan for 2026!
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Original Medicare includes Medicare Part A (Hospital Insurance) and Part B (Medical Insurance).
• If you want drug coverage, you can join a separate Medicare drug coverage (Part D) plan.
• To help pay your out-of-pocket costs in Original Medicare (like your deductible and 20% coinsurance), you can also shop for and buy supplemental coverage (a Medigap policy).
Medicare Advantage is a Medicare-approved plan from a private company that offers an alternative to Original Medicare. These “bundled” plans include Part A, Part B, and usually Part D.
• Some plans may have lower out-of-pocket costs than Original Medicare.
• Some plans offer benefits that Original Medicare doesn’t, like vision, hearing, dental, and more.
Medicare has four parts:
Part A: Hospital Insurance, which covers inpatient hospital stays, hospice care, and some skilled nursing care.
Part B: Medical Insurance, which covers outpatient medical care, doctor visits, and preventive services like flu shots.
Part C: Medicare Advantage, which is an alternative to Parts A and B that bundles several coverage types.
Part D: Prescription Drug Benefit, which provides coverage for prescription drugs
Original Medicare (Parts A and B) does not cover dental or vision care. However, Medicare Advantage plans (Part C) often include some coverage for dental and vision. We will do everything we can to find you a plan that covers your needs!
You can change your Medicare plan during certain periods. These periods include:
Medicare Open Enrollment Period: This period is from October 15 to December 7. This is when most people make changes to their plan if needed, to prepare for the upcoming year.
Medicare Advantage Open Enrollment Period: This period is from January 1 to March 31. During this time, you can switch to another Medicare Advantage plan or return to Original Medicare.
Medicare Special Enrollment Periods (SEPs): These periods allow you to make changes at other times of the year depending on your circumstances. You can make changes during SEPs if you experience certain life events, like moving or losing other coverage.
Absolutely! At 307 Benefit Advisors, we make it our priority to focus on our clients needs and make sure they have the best coverage available. We reach out to our clients every year, whether you need to make changes or not, just to make sure you're taken care of. From the moment your coverage starts, we'll be one call away.