FAQ

  • We do not offer every plan available in your area.  We represent a number of MA organizations, which offer products in your area.  Any information we provide is limited to those plans we do offer in your area.  Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

    Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

    Some of the benefits mentioned may be Special Supplemental Benefits for the Chronically III (SSBCI). You may qualify for SSBCI if you have a high risk for hospitalization and require intensive care coordination to manage chronic conditions such as Chronic Kidney Diseases, Chronic Lung Disorders, Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please refer to Chapter 4 in the plan's Evidence of Coverage or Summary of Benefits.

    Medicare Insurance Direct, a website operated by Senior Market Sales LLC, is a licensed and certified representative of Medicare Advantage [HMO, PPO and PFFS] organizations [and stand-alone prescription drug plans]. Each of the organizations they represent has a Medicare contract. Enrollment in any plan depends on contract renewal.

    Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan's contract renewal with Medicare.

    Medicare Advantage organizations and/or Medicare Part D plan sponsors comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.

    Out-of-network/non-contacted providers are under no obligation to treat Plan/Part D Sponsor members, except in emergency situations.

    Please call the Plan's customer service number or see your Evidence of Coverage for more information, including cost sharing that applies to out-of-network services.

    Certain Plan/Part D Sponsors' pharmacy networks may include limited lower-cost, preferred pharmacies in some areas. The lower costs advertised for these pharmacies may not be available at the pharmacy you use.

    For up-to-date information about network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call the Plan's customer service number or consult the Plan's online pharmacy directory.

    Enrollment in a plan may be limited to certain times of the year unless you qualify for a Special Enrollment Period or you are in your Medicare Initial Enrollment Period.

    The standard Part B premium for 2025 is $174.70. Monthly savings vary and may be subject to processing delays and may not be immediate. Not available with all plans. Availability varies by carrier and location.

    ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-685-5353; TTY:711 M-F 7:00 am - 7:00 pm CST / Sat 7:00 am - 3:00 pm CST / Sun Closed.

    注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-888-685-5353; TTY:711 M-F7:00 am - 7:00 pm CST / Sat 7:00 am - 3:00 pm CST / Sun Closed.

    ATTENTION: If you don't speak English, language assistance services, free of charge, are available to you. Call 1-888-685-5353; TTY:711 M-F 7:00 am - 7:00 pm CST / Sat 7:00 am - 3:00 pm CST / Sun Closed.

    To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 day a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

    Provider information contained in this directory is gathered from information by a third party and updated every 7-30 days. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change. Please check with the provider before scheduling your appointment or receiving services to confirm participation in a carrier's network.

    Every year, Medicare evaluates plans based on a 5-Star rating system. The Star Ratings apply to contract year 2025.

    You are not required to provide any health related information unless it will be used to determine enrollment eligibility.

    Licensed sales agents/producers may be compensated based on your enrollment in a health plan.

    Medicare Supplement Plans are not connected with or endorsed by the U.S. Government or the federal Medicare program.

    Enrollees must use network providers for specific Optional Supplemental Benefits (OSBs) when stated in the Evidence of Coverage (EOC), otherwise, covered services may be received from non-network providers at a higher cost. Enrollees must continue to pay the plan premium plus the OSB premium.

    Cost Estimates are based on the information shown under Preferences, using data about past experiences by beneficiaries with similar attributes and the premiums and benefits provided by the plan. Actual costs may vary. Monthly medical costs are represented by annual figures divided evenly per month.

    For plans that provide drug coverage/ the formulary may change during the year.

    ©2025 GetPNWinsurance, Inc. All rights reserved.

    Last updated: 04/14/2025 02:55:03 PM