MEDICARE CONSULTING SERVICES

Medicare Coverage Transition

Medicare is complex. Poor decisions made during a transition to Medicare can have significant financial consequences and often cannot be undone. Not following Medicare enrollment rules can result in lifetime premium penalties and gaps in coverage. Higher-income Americans pay more for both Parts B and D and amounts change each year.

The Medicare Coverage Transition service includes:

  • Assistance making drug, secondary coverage and/or Advantage Plan decisions
  • Identifying how your current physicians participate (or don’t) with Medicare
  • Managing the various enrollments associated with Medicare and Medicare-related products to completion
  • Responding to Part D Plans inquiries regarding creditable coverage
  • Preparing correspondence to the Medicare Benefits Coordination and Recovery Center as necessary
  • Projecting your premiums associated with Medicare Part B, Part D, a supplement or Advantage Plan and your out-of-pocket expenses and preparing a spreadsheet summarizing this information
  • Preparing a summary memorandum of each part of Medicare or associated product you have enrolled in, the effective date, the associated premium and/or income-indexed premium and how payment will be made
  • Reviewing and sharing our Medicare Essentials Consultation Packet, a compilation of condensed government materials, so that you understand the important issues associated with your Medicare coverage

Deposit:  $1700 for an individual transitioning around their 65th birthday (IEP)

Deposit:  $2000 for an individual transitioning who worked beyond 65th birthday (SEP)

Deposit:   $3000 for a couple

Medicare Essentials Consultation

The Medicare Essentials Consultation can be provided to the Client who wants to receive information about Medicare, customized information on how doctors participate, discuss plan choices and projected costs but would prefer to manage enrollments on their own.

If Client needs additional support, then Client may transition to the more comprehensive Medicare Coverage Transition Service.

Fee:  $1400 for an individual; $1900 for a couple*

The Medicare Essentials Consultation can also be provided to executives and employees in individual or group settings and customized to the client. Please contact us for additional information.

*Our fees are largely based on time as described in our Professional Services Agreement. Deposit amounts for most consulting services might be exceeded because some client situations are more complex than others. The notable exception is our Medicare Essentials Consultation which is a fixed fee for an individual or couple. We offer that service on a fixed fee basis because we are not responsible for submitting applications or enrollment tracking.