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Medicare Plans

Medicare Mistakes To Avoid

From Wellington to Boynton Beach, the Medicare mistakes we see tend to repeat. Most of them start with a missed deadline, an assumption nobody checked, or a decision made off a mailer.

Here's what to watch for.

  • Some of these can't be reversed
  • One careful review prevents most of them
  • Missed deadlines cost more than plan choices
An older couple in sun hats relaxing in beach chairs by the water

The big ones

Seven mistakes that cost people money

  • 1. Letting your Part B window pass

    Without coverage from a job you or your spouse still hold, delaying Part B adds a penalty you usually keep paying as long as you have Part B. Run the Part B penalty calculator before you decide to wait.
  • 2. Going without drug coverage

    No prescriptions today doesn't mean no penalty. Go 63 days or more in a row without creditable drug coverage after your Initial Enrollment Period, and Medicare adds a charge to your Part D premium for as long as you have drug coverage.
  • 3. Picking a local network when you leave for half the year

    An Advantage plan built around local doctors may cover only emergency and urgent care up north, and most plans must end your membership after more than six months outside the service area. Ask how a plan handles travel before you enroll.
  • 4. Judging a plan by its premium

    A $0 premium plan that puts your medicines on a high tier can cost more by December than one with a modest monthly premium.
  • 5. Missing the Medigap window

    Your guaranteed-issue Medigap window opens with Part B and lasts six months. Florida has no birthday or anniversary rule, so once that window closes, an insurer can ask health questions before accepting you.
  • 6. Signing up from a TV ad

    National commercials run the same pitch in every state. An ad can't tell you whether a plan includes your West Palm Beach cardiologist or the hospital you'd use.

7. Skipping the yearly check

Plans can change networks, drug lists and copays every January 1, and last year's answer may not hold. A quick look during each Open Enrollment catches most changes before they cost you.

Also worth knowing

Smaller slip-ups worth catching early

Joining a separate Part D plan while you're in an Advantage plan that already covers drugs can drop you from the Advantage plan. Cancelling a Medigap policy with plans to get it back later can backfire if you can't pass the health questions. Forgetting to mention a spouse's job coverage can let a Special Enrollment Period come and go unused. And moving to Florida while keeping an Advantage plan from your old state can leave you without doctors nearby who take it.

None of these are hard to avoid once someone is watching for them, and a licensed insurance agent can help you keep track. New to Medicare? Start with the Medicare overview and the Medicare checklist. Free, unbiased counseling is also available from SHINE at 1-800-963-5337.

Free review

Find out where you stand

Think you may have already slipped up? A licensed insurance agent can look at your coverage, your enrollment dates and your medicines, and tell you what can still be done. Ask for a callback during office hours, or call 561-000-0000.

Request a free Medicare review

Takes under a minute.

Free

By submitting, you agree a licensed agent may call you about Medicare or final expense options. No obligation to enroll.

Think you've already made one?

Many can be fixed if they're caught early. Call for a free look at where you stand.