Question 1

When should I enroll in Medicare if I’m turning 65?

Accepted Answer

Most people should enroll during their 7-month Initial Enrollment Period, which begins 3 months before their 65th birthday month, includes their birthday month, and ends 3 months after. Missing this enrollment window may result in permanent late enrollment penalties.

Question 2

Can I delay Medicare if I’m still working after age 65?

Accepted Answer

Yes. If you have employer-sponsored creditable coverage through an employer with 20 or more employees, you may be able to delay Medicare Part B without penalties. It is important to verify your coverage status with your employer's HR department.

Question 3

What is the difference between Medicare Advantage and Medigap?

Accepted Answer

Medicare Advantage plans combine Medicare benefits into one plan and often include additional benefits. Medigap plans help cover out-of-pocket costs not paid by Original Medicare. The right option depends on your healthcare needs, budget, doctors, and prescription medications.

Question 4

When can I change my Medicare plan?

Accepted Answer

You can typically change Medicare plans during the Annual Enrollment Period (October 15 through December 7), the Medicare Advantage Open Enrollment Period (January 1 through March 31), or during a qualifying Special Enrollment Period triggered by certain life events.

Question 5

Is there a penalty for enrolling in Medicare late?

Accepted Answer

Yes. Delaying enrollment in Medicare Part B or Part D without qualifying coverage can result in lifetime premium penalties. Enrolling on time helps you avoid unnecessary costs and coverage gaps.

Question 6

Does it cost anything to work with a Medicare advisor?

Accepted Answer

No. Independent Medicare advisors do not charge clients for their services. Advisors are compensated by insurance carriers when a client enrolls in a plan, and there is no additional cost to the beneficiary.

Question 7

How do I know if my employer coverage is creditable?

Accepted Answer

Creditable coverage means your employer health plan is expected to pay at least as much as standard Medicare coverage. Your employer or HR department can provide documentation confirming whether your coverage is creditable.

Question 8

Can Houston Independent Insurance help me compare Medicare plans?

Accepted Answer

Yes. Houston Independent Insurance provides independent Medicare plan comparisons, helping Texans evaluate Medicare Advantage, Medicare Supplement (Medigap), and Prescription Drug Plans based on their healthcare needs, doctors, prescriptions, and budget.

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