Understanding Medicare

For More Information Call: (972) 847-0772

Medicare Advantage Plans

  • Private Insurance Companies, contracted with Medicare, offer Medicare Advantage Plans
  • Plans are required to cover everything Original Medicare A&B covers
  • Medicare Advantage plans do not replace Medicare, they administer the benefits
  • Many plans offer additional benefits not covered by Original Medicare
  • This may include: routine vision exams, routine hearings exams, preventive dental, gym benefits, etc.
  • To be eligible to join Medicare Advantage you must:
    • Have Medicare Parts A & B
    • Live in the plan’s service are
    • Special enrollment applies to ESRD patients (ESRD – permanent kidney failure requiring dialysis or a kidney transplant)

To learn more click HERE to visit the Better Medicare Alliance Open Enrollment Handbook.

Medicare Enrollment Periods

  • Initial Enrollment Period (IEP)
    • The 3 months prior to, month of and 3 months following your 65th birthday
  • Open Enrollment Period (OEP)
    • 10/15 to 12/07 for a 1/1 effective date
  • Medicare Advantage Disenrollment Period (MADP)
    • 1/1 to 2/14 to change from a Part C Medicare Advantage Plan back to Original Medicare and Part D Rx Drug Plan
  • Special Enrollment Period (SEP)
    • Move to a new service area or lose employer group coverage

USMD Participates in these Plans

  • AARP
  • Humana
  • UnitedHealthcare Medicare Advantage

Contacts

  • Medicare: 1.800.MEDICARE or www.Medicare.gov
    • Contact for questions regarding any aspect of Medicare
    • TTY/TDD designated line 1.877.486.2048
  • Social Security: 1.800.772.1213 or www.ssa.gov
    • Contact for assistance enrolling into Medicare, delaying Medicare benefits due to continued employment and related questions
    • Contact regarding Limited/Low Income Subsidy (LIS) to see if you may qualify for additional help with prescription drug costs
  • Golden Outlook: 1.888.265.4612 or www.goldenoutlook.com
    • Contact for questions regarding the health plan that works best for you if you are a Medicare beneficiary.
    • Golden Outlook Insurance Services (license #OE97515) is a licensed insurance agency that works with Medicare enrollees to explain Medicare Advantage, Medicare Supplement Insurance and Prescription Drug Plan options.