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When it comes to retirement, Florida gets all the attention. But when it comes to quality health care coverage during retirement, maybe Floridians should be California dreamin’. Why? Because California has more Medicare beneficiaries than any other US state. In fact, there were over 6.2 million people enrolled in Medicare in California in 2018. (That’s nearly two million more than the “Sunshine State.”)
With offices from San Francisco to San Diego, we know Medicare in the Golden State. Read on to learn more about Medicare plans in California or speak with a licensed agent today to find plans near you!
There are a wide variety of Medicare plans in the state of California. Whether you’re looking for basic Original Medicare coverage, prescription drug coverage, or coverage with extra health and wellness benefits, you can find the plan you need at a rate you can afford near you.
Original Medicare (Parts A and B)
Funded and administered by federal and California state government, Original Medicare is made up of two parts: Part A and Part B. Medicare Part A, also known as “hospital insurance,” covers your inpatient care at hospitals, skilled nursing facilities, or hospices. Medicare Part B, on the other hand, is sometimes called “medical insurance” and helps pay for your Medicare-approved outpatient care. This includes medical services and supplies such as doctor’s visits, physical therapy, and preventative care. It also covers durable medical equipment (DME) that you may need, such as oxygen pumps, walkers, and wheelchairs.
Medicare Advantage (Part C) plans in California
Unlike Original Medicare, Medicare Advantage plans are regulated by the federal government but are sold by private insurance companies. By law, all Medicare Advantage plans in California and all other states must provide the same coverage as Original Medicare, but most plans offer additional benefits coverage, too. This may include things like vision, dental, hearing aids, health and wellness programs, or gym memberships. Some plans also include prescription drug coverage (Medicare Part D). Added benefits vary according to location, so talk to a licensed agent to find out what’s available in your area.
Medicare Part D (prescription drug) plans
If you’re enrolled in Part A and/or Part B, you can choose to purchase a Medicare Part D separately. Medicare Part D helps pay for the cost of your prescription drugs and medications. Coverage for specific drugs varies based on what’s called a Medicare “formulary,” a list of drugs separated into tiers according to price. Note, Medicare Part D coverage may be included in some Medicare Part C (Medicare Advantage) plans.
Enrolling in Medicare in California is quicker and easier than you might think. If you’re 65 years old and eligible for Social Security or Railroad Retirement Board benefits, you may even qualify for automatic enrollment!
But what’s the fastest and simplest way to get enrolled? With help from a friendly agent licensed to enroll individuals in Medicare plans. Start your enrollment process today and talk to an agent!
Medicare enrollment periods are divided up into three primary timeframes:
If you’re enrolling in Medicare for the first time, you can enroll in a Medicare plan during your Initial Enrollment Period. Your Initial Enrollment Period begins three months before the month of your 65th birthday and ends three months after your birth month.
If you’re already on Original Medicare and want to upgrade your coverage by switching to a Medicare Advantage plan, you can do so during the Annual Enrollment Period, which starts October 15 and ends December 7 every year.
Under some circumstances, you may be able to enroll in a Medicare plan during a Special Enrollment Period. For example, you may be able to enroll in coverage or switch plans if you’ve recently moved or if you’re currently living in a nursing home. Talk to one of our licensed agents today to see if your special circumstance applies.
California Department of Insurance
The California Department of Insurance provides a wide array of information and resources regarding Medicare and senior health coverage.
Medi-Cal
Offered through the California Department of Health Care Services, Medi-Cal is a program that may help pay for some of your out-of-pocket medical costs, if you qualify for both Medicare and Medicaid.
California Medicare Savings Programs
There are a number of Medicare Savings Programs in California designed to help people with lower incomes pay for some or all of their Medicare Part A or B premiums.
California State Health Insurance and Assistance Program (SHIP)
Using federal grants, SHIP offers free one-on-one counseling and other resources for Medicare beneficiaries in California.
Ready to Enroll in a California Medicare plan? Get started by tapping or clicking the button below. If you need help during the application process, simply contact a friendly, licensed agent at 1-855-200-9401.