Sherpa Insurance https://www.sherpahealthinsurance.com Sherpa Insurance Mon, 05 May 2025 19:04:01 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.1 https://www.sherpahealthinsurance.com/wp-content/uploads/2018/09/cropped-sherpaFinancial_3-1-32x32.jpg Sherpa Insurance https://www.sherpahealthinsurance.com 32 32 New to Medicare? https://www.sherpahealthinsurance.com/when-do-i-need-to-enroll/ Thu, 31 Jan 2019 17:10:02 +0000 https://www.sherpahealthinsurance.com/?p=2754

New to Medicare?

Open Enrollment Period:

When you’re first eligible for Medicare, you have a 7-month Initial Enrollment Period to sign up for Part A and/or Part B.

Special Enrollment Period:

If you are already 65 and have a qualified Employer Loss of Coverage:

 

More Details:

For example, if you’re eligible for Medicare when you turn 65, you can sign up during the 7-month period that:
Begins 3 months before the month you turn 65
Includes the month you turn 65
Ends 3 months after the month you turn 65

If you aren’t automatically enrolled, you can sign up for free Part A (if you’re eligible) any time during or after your Initial Enrollment Period starts. Your coverage start date will depend on when you sign up. If you have to buy Part A and/or Part B, you can only sign up during a valid enrollment period.

Note

If you wait until the month you turn 65 (or the 3 months after you turn 65) to enroll, your Part B coverage will be delayed. This could cause a gap in your coverage.

In most cases, if you don’t sign up for Medicare Part B when you’re first eligible, you’ll have to pay a late enrollment penalty. You’ll have to pay this penalty for as long as you have Part B and could have a gap in your health coverage.

Find out when you’re eligible for Medicare.

Between January 1–March 31 each year
You can sign up for Part A and/or Part B during the General Enrollment Period between January 1–March 31 each year if both of these apply:

You didn’t sign up when you were first eligible.
You aren’t eligible for a Special Enrollment Period (see below).
You must pay premiums for Part A and/or Part B. Your coverage will start July 1. You may have to pay a higher premium for late enrollment in Part A and/or a higher premium for late enrollment in Part B.

Note

To sign up for Part B, complete an Application for Enrollment in Part B (CMS-40B). Get this form and instructions in Spanish. If you don’t have Medicare or you want to sign up for Part A (some people have to pay a premium for Part A), contact Social Security.

There are other Special circumstances (Special Enrollment Periods) that we can help you navigate. Or for more information visit.

https://www.medicare.gov/sign-up-change-plans/how-do-i-get-parts-a-b/part-a-part-b-sign-up-periods

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Finding the right coverage https://www.sherpahealthinsurance.com/finding-the-right-coverage/ Thu, 31 Jan 2019 16:59:13 +0000 https://www.sherpahealthinsurance.com/?p=2742 ]]> 2742 What does Medicare Cover? https://www.sherpahealthinsurance.com/what-does-medicare-cover/ Thu, 31 Jan 2019 16:51:48 +0000 https://www.sherpahealthinsurance.com/?p=2730 In general, Part A covers:
Inpatient care in a hospital
Skilled nursing facility care
Inpatient care in a skilled nursing facility (not custodial or long-term care)
Hospice care
Home health care

Part B covers 2 types of services
Medically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice.
Preventive services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best.
You pay nothing for most preventive services if you get the services from a health care provider who accepts assignment.

Part B covers things like:
Clinical research
Ambulance services
Durable medical equipment (DME)
Mental health
Inpatient
Outpatient
Partial hospitalization
Getting a second opinion before surgery
Limited outpatient prescription drugs

https://www.medicare.gov/what-medicare-covers/what-part-a-covers
https://www.medicare.gov/what-medicare-covers/what-part-b-covers

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