• 1-844-827-7296
  • (956) 685-5181
  • 607 W Interstate 2 Ste B, Pharr, Texas
We will help you compare plan options

Medicare

We can answer your questions, help you compare plan options, and give you information about how to enroll in a Medicare plan. Call our office or fill out the request form.

Many people are happy to finally be eligible for Medicare. Many had no medical coverage and are in dispread need of insurance.  Others are tired of paying high monthly premiums for a high deductible plan that they may not even be using.

However, there are people who do not want Medicare. Some do not want to pay the Medicare Part B premium of $135.50; This could be because their income is too low.

Regardless, canceling Medicare Part B is a big mistake! It could cause you bigger problems later.

If you do have low income, you could help you qualify for extra help with the state. That could even result in the state paying for your Medicare Part B premium for you. There are also Medicare Advantage plan available that could help you pay for your Part B premium and provide you with extra benefits.

Medicare is a great Health Insurance for most beneficiaries, but it does not cover everything. With Medicare, you are responsible for deductibles and a 20% co-insurance. Below are some other options to consider in addition to Medicare Part A and B:

  • Medicare Supplement plans (MEDIGAP)
  • Medicare Advantage plans
    • Preferred Provider Organization (PPO)
    • Health Maintenance Organization (HMO)
    • Medical Savings Account (MSA
  • Medicare Prescription Drug Plans (Part D)

Let me explain why many beneficiaries are loving Medicare Advantage Plans (MA).  Most HMO, PPO, and MSA plans are at no cost to the beneficiary.

“NOTHING IS FREE”

You are right. When the beneficiary enrolls in one of these plans, the Center for Medicare and Medicaid Services (CMS) sends the insurance company a check every month. So Medicare is paying.  This check is not the amount for the Part B premium, it is for a lot more. Now, the insurance company is responsible to take care of the beneficiary. With these plans, the insurance company is responsible for 100% minus the co-pays. This process helps Medicare reduce insurance fraud. The Beneficiary get to visit a primary Doctor, usually at $0 copay, they get a Part D plan and many other benefit. These benefits are at no additional cost other than the Part B premium.

Medicare Supplements (Medigaps) are different.  Insurance companies make their money through the monthly premium paid by the beneficiary, not from CMS payments. The beneficiary is responsible for paying that premium and that premium increases every year. Many Medigaps owners are too healthy and don’t even it. Insurance companies are making big profits that comes from the beneficiary’s pockets. The Medigaps has no Part D plans nor extra benefits.

Before you buy a Medigap or enroll in a HMO, learn about the $0 premium PPOs with an enormous network and/or the MSA that could deposit $2520 into your account with no network to worry about.

Choose your plan carefully. You are only able to change during the Annual Election Period.

MEDICARE ENROLLMENT PERIODS

Initial Enrollment Period (IEP)

3 months before effective – the month of effective – 3 months after effective 

Supplements 6 months after

Annual Enrollment Period (AEP)

October 15 to December 7

(changes effective Jan 1st of following year)

Open Enrollment Period (OEP)

January 1 to March 31

Special Enrollment Period (SEP)

Have Extra Help/Loss Extra Help

(Medicare/Medicaid year round enrollment)                                 

Have Medicaid/Loss Medicaid

Moving In/Lost Employer Coverage

General Enrollment Period (GEP)

(Enrolling in the Part B)

January 1 to March 31

Effective July 1st                              

About us

We are an independent insurance broker and offer a wide range of products in order to meet all your insurance needs.  If you are looking for Medicare, Life Insurance or an Annuity, we can help you.

Contact Us

  • (956) 685-5181​
  • 607 W Interstate 2 Ste B, Pharr, Texas​
  • gamboa.trs@gmail.com