Medicare

As your independent health plan consultant, Health Plans in Oregon can compare Medicare health, supplemental, and prescription plans from dozens of private health insurance companies.

Health Plans in Oregon:

  • Offers free annual Medicare insurance reviews
  • Helps you by considering premiums, deductibles, co-pays, co-insurance, and all options
  • Ensures you can take advantage of it by choosing the right plan

New to Medicare?

There are many details of Medicare which can be confusing to many. Health Plans in Oregon is also available to help you know if you are eligible to receive it.

  • Those 65 and older likely qualify
  • Those younger than 65 with disabilities of 24 months or more may qualify
  • People with end stage renal disease or other chronic conditions may be eligible

Medicare Insurance Health Plans In Oregon

Timeline of Medicare Enrollment Period in Oregon:

  • Initial Enrollment Period (IEP): 7-month period. Begins 3 months before you are eligible for it (i.e., turning 65), and ends 3 months after yours eligibility begins.
  • General Enrollment Period (GEP): Jan 1 to Mar 31
  • Annual Election Period (AEP): Oct 15 to Dec 7
  • Special Enrollment Period (SEP): Anytime during the year
  • Medicare Advantage Disenrollment Period (MADP): Jan 1 to Feb 14

Special Election Period in Oregon

There are special situations where you may qualify to enroll in a plan, or change the plan you may be currently enrolled in, even when enrollment has ended.  Some of those situations include the following:

  • You are turning 65
  • You moved to a different address
  • You lose your current coverage
    • you no longer eligible for Medicaid
    • you left coverage from your employer or union
    • you involuntary lose other drug coverage
  • You are eligible for both Medicare and Medicaid
  • You qualify for extra help with your prescription drug coverage
  • You have a severe or disabling condition such as Cardiovascular disease or diabetes and there’s a Medicare Chronic Care Special Needs Plan (SNP) available
  • You can switch to a 5-star Medicare Advantage Plan, Cost Plan, or Prescription Drug Plan

If you have Medicare A and B, here are your choices:

  • You can change or enroll on a new Advantage plan
  • You can also go back to Original plan and enroll on a stand-alone Prescription drug plan from an Advantage plan
  • If you have Advantage plan, you can also switch to Original one, enroll on a stand-alone prescription drug plan and enroll on a Supplement plan.

Penalties

Medicare Part B Late Enrollment Penalty

If you do not sign up for Part B when you are first eligible, or if you drop Part B but enroll later, you may pay a late enrollment penalty:

  • Penalty in effect as long as you have it.
  • Monthly premium for part B may go up 10% each full 12-month period that you did not sign up for Part B but were eligible

Medicare Part D Late Enrollment Penalty

If you don’t sign up for Part D when you’re first eligible, you may pay a late enrollment penalty:

  • Penalty in effect as long as you have it.
  • Penalty calculated by multiplying 1% of the “national base beneficiary premium”  times the number of full, uncovered months you were eligible but didn’t join a Prescription Drug Plan and went without other creditable prescription drug coverage

Furthermore, check our these Plans:

If you have any question, feel free to Contact us now