Medigap 101

Medicare supplement plans and Medicare Advantage Prescription Drugs plans are the very core of our business.We specialize in health insurance products for Baby Boomers like you, and we are the best at what we do.

Our friendly agents are licensed and certified to represent all of the major Medicare insurance plans in Texas.

Easy Medicare

Shopping for a Medicare supplement in Texas has never been easier. You can find everything you need to know right here.

Get quotes and information about all of the major Medicare insurance carriers, including BCBS of Texas, United Healthcare AARP plans, Aetna and many others.

Start with Medicare 101 or choose your interest below:

Medicare Supplements

Texas Medicare Supplement options – learn which supplement might be the right fit for you. Medigap Plan F rates in Texas are affordable with many carriers.

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Medicare Part D

Did you know there are over 25 standalone drug plans in Texas? Click here for more information about Medicare Part D drug plans available in your area.

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Medicare Advantage Plans

Texas Medicare Advantage – learn more about how these plans work and which plans are offered in your county. Medicare HMO & Medicare PPO options are common in most counties.

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Call today to talk to a licensed health insurance agent 855-732-9055

Different Parts of Medicare Insurance

Medicare is a national health insurance program that offers coverage for certain health care expenses. Most U.S. citizens and legal permanent residents are eligible for Medicare if they are age 65 or older or younger than age 65 with a qualifying disability or illness.

The Medicare insurance program is composed of a variety of government and private insurances that cover specific services. The different components of the Medicare insurance program include:

Medicare Part A is government-supplied hospital insurance covering certain inpatient services in hospitals, skilled nursing facilities, hospice, and home health care
Medicare Part B is government-supplied medical insurance covering outpatient health care services, such as doctor visits, durable medical equipment, and certain preventative services.
Medicare Part C, also known as Medicare Advantage (MA), deliver Part A and Part B benefits through a private health insurance plan approved by Medicare. These plans may include additional coverage, including prescription drug coverage, dental coverage, or health and wellness programs.
Medicare Part D plans, also known as Prescription Drug Plans (PDPs), are stand-alone drug plans that offer coverage for medication costs. Like Medicare Advantage plans, stand-alone Medicare Part D plans are offered by private insurance companies.
Medicare Supplement, also known as Medigap, plans are private insurance plans that are not subsidized by the government and offer coverage for out-of-pocket costs not covered by Part A and Part B through ten standardized plan options in most states (except Massachusetts, Minnesota, and Wisconsin). See our Medicare Supplement benefits chart of the ten standardized insurance plans to review what is covered by each plan.

Texas Medicare Plans: Insurance for People on Medicare

Medicare Supplement shopping has never been easier. At our agency, our goal is to provide you free, easy accessible information about your Medicare options.

Learn how Medicare supplements and Medicare Advantage plans function so that you understand your benefits. Our agents are ready to assist you, and there is no fee to you for our service. Our agents are paid by the insurance company for the life of your policy when we assist you with enrolling into a policy. Therefore you can be certain that your best interests will always be our first priority. We keep in touch with your Medicare clients regularly to always ensure that you have the right coverage for your changing needs.

What Is Needed to Shop for a Texas Medicare Plan, such as Medigap?

Eligibility for Medicare Supplement insurance requires a few basic things:

  • Enrollment into Original Medicare Parts A & B – you must first sign up for A&B before a supplement can be put into force
  • Continued payment of your Medicare Part B premiums (usually deducted from your social security check)
  • An open enrollment or guaranteed issue window, or the ability to pass medical health underwriting

Open enrollment for medicare supplements is the 6-month period beginning on the first day of the month in which you enrolled in Medicare Part B. If you are on Medicare under age 65, you will also have a 6-month open enrollment period when you reach age 65. During this open enrollment window, you can enroll in any medicare supplement without health underwriting – you cannot be turned down for coverage.

Guaranteed Issue for medicare supplements is similar to open enrollment, but is usually a shorter period – about a two month window – during which someone with a special circumstance can enroll in a medicare supplement without health underwriting. The most common circumstance is the loss of employer group health coverage.

If you don’t have open enrollment or guaranteed issue status, then working with one of our independent Medicare insurance agents can greatly help you. We are experts in the health underwriting guidelines for various insurance companies, and these can vary quite a bit from one company to the next.

Why Do Medicare Supplement prices vary so much between insurance companies?

While Medicare supplements are standardized by the federal government so that the basic benefits for each plan letter are the same among carriers, the insurance company still get to set their own rates. Some carriers offer better pricing than others for various reasons – loss ratios, financial stability, rate trend history and many other factors. We can assist you with getting the facts about each carrier before you choose the medicare supplement that best suits you. Use the menu bar to begin reading about the medicare options available to you. When you are ready, contact our agency toll free or use our online contact form to request help from a friendly, knowledgeable, no-pressure agent.

Understanding why one Medicare supplement carrier has an unusually low rate can be very important in determining whether this carrier is likely to maintain such rates, or whether they are below the market average. Sometimes carriers may enter a certain market, such as the state of Texas, and since they have no prior claims experience here, they may start out with very affordable premiums. However, if their actuaries don’t accurately forecast the Medicare claims expected, then it might mean that next year you’ll get an unpleasant surprise when the carrier has to “catch up” on rates.

If stability of rate trend is important to you, please contact us so we can share with you the recent rate trends of the carriers you are considering.

Medicare Supplement Reading Resources

For more information, feel free to visit Medicare’s website at www.medicare.gov

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