What are the parts of Medicare?

There are four parts of Medicare: Part A (hospital) and Part B (medical) are administered by the Federal Government. Part C, also known as Medicare Advantage and Part D (drug coverage) are administered by private insurance carriers. 

Do I need to enroll in Medicare A & B? 

It depends on your working situation and status with Social Security. In very general terms, if you are actively working and your employer group is over 20, you can defer your Medicare benefits until you retire. If your group is under 20 employees, you are a sole proprietor or retiring you will need to enroll in Medicare A & B. If you are enrolled in a plan offered by the EDDS, you do not need to enroll in Medicare A & B.

How do I enroll in Medicare A & B? 

If you are collecting Social Security, your Medicare card showing effective dates for Parts A & B should be mailed out to you automatically about three months before you turn 65. If you are not collecting Social Security, you can visit www.ssa.gov and click “Medicare” to enroll. 

What should I do if I’m still working? 

It’s in your best interest to chat with one of our Medicare representatives to assess whether or not you need to enroll in Medicare and if staying with your current coverage is the best option for your situation. 

My spouse is not Medicare eligible yet, how can I make sure he/she doesn’t lose coverage? 

You have options for your spouse, including applying for a plan through the NY State of Health Marketplace or directly with one of our local carriers. We have no-cost assistance available to you!

I have a child turning 26 who can no longer stay on my plan. Can you help? 

Your adult child(ren) may have affordable options available through the NY State of Health Marketplace. They can speak to one of our representatives for an assessment and assistance with Marketplace enrollment at no cost. 

What types of Medicare plans are available to me?

You can choose to enroll in a Medicare Advantage plan (HMO or PPO) or a Medicare Supplement plan with a standalone Part D (drug) plan. When you work with us, we’ll help determine which route is the best choice for your needs and budget.

Which carriers are available to me?

Walsh Duffield represents a wide range of local and national carriers for Medicare Advantage, Medicare Supplement and standalone Part D plans. 

How much will a Walsh Duffield professional consultation cost me?

Our services are available to you at NO COST. This includes:

i. an initial phone consultation to assess your needs and timeline 

ii. plan research based on your personal medical/prescription/budget/travel needs

iii. personalized consultations at a convenient location for you or virtually

iv. Assistance with enrollment in Medicare Advantage, Medicare Supplement and Medicare Part D plans