MEDICARE & INSURANCE FAQs

General

What is Medicare?

Federal health insurance for people 65+ and some younger with disabilities or specific conditions. Parts A (Hospital), B (Medical), C (Advantage), D (Drugs).

When should I enroll?

Initial Enrollment Period is 7 months around your 65th birthday. Missing it can trigger penalties.

Original Medicare vs. Advantage?

Original = Parts A & B (add Medigap/Part D if desired). Advantage = private plan combining A, B, and usually D, often with extra benefits and provider networks.

What is Medigap?

Private coverage that helps pay Medicare deductibles/coinsurance.

Best time to buy?

6-month Medigap Open Enrollment (starts when you’re 65+ and Part B is active). No medical underwriting in this window.

Do I need Part D if I don’t take meds?

Usually yes, unless you have other creditable drug coverage; delaying can add a lifetime penalty.

What’s the “donut hole”?

A coverage stage where you pay a larger share until reaching catastrophic coverage (plan-year thresholds apply).

Can I change plans later?
  • AEP: Oct 15–Dec 7 (changes effective Jan 1)
  • OEP: Jan 1–Mar 31 (MA members can switch MA plans or go back to Original Medicare)
  • SEPs: For moves, Medicaid status changes, loss of employer coverage, etc.
Does Medicare cover dental/vision/hearing?

Original Medicare generally does not; some MA plans do.

What if I move states?

MA/Part D availability is local; moving triggers an SEP to choose a new plan.

Do you charge a fee?

No. Consultations and plan reviews are no-cost. We’re paid by carriers if you enroll; your premium is the same whether you go direct or through us.

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Medicare Senior Plans

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We do not offer every plan available in your area. Currently we represent [X] organizations which offer [Y] products. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Fortunata Agency is not affiliated with or endorsed by the federal government, Medicare, or the Centers for Medicare & Medicaid Services.