Who:
We have been in the business of helping people for many years and consider ourselves knowledgeable in the Medicare field. We take an educational approach in helping our clients and you will never encounter a “pushy sales person” when you meet with us. We are here to help with all of your Medicare needs and are able to enroll you into most plans within Nassau & Suffolk counties depending on your individual needs.
We offer: Medicare Advantage Plans, Medicare Supplement Plans and Stand-Alone Prescription Drug Plans as well as the expertise to help you select the options that benefit you most.
Why:
The world of Medicare is confusing whether you’re newly eligible or have been a Medicare beneficiary for a long time. As years pass, Medicare changes and updates - you don't just need help signing up - you need an advocate who is going to keep up with changes to Medicare and help you navigate them every year. We will be here to answer your questions and concerns year round, not just at initail sign up. We offer a wide range of Medicare options to our clients and are here to answer your questions when We cater our recommendations based on your individual needs and no matter what your situation is, we will help you find a plan that’s right for you and enroll.
Find out what plan network’s your doctors are in:
One of the most important questions we get asked is “Can I keep my doctor?”. We have a wide variety of plan options, so finding one that includes your doctors will be first on the agenda.
Find out what plans cover your medications.
Another important aspect of choosing a plan, which one covers my medications? We will address this concern and put your mind at ease with a plan that covers the medication you take.
We offer solutions from:
What To Expect: 5 Steps:
1 Contact Us:
Contact Long Island Medicare Options by phone, email or by filling out the convenient contact form below and we will get in touch within 24 hours or less.
2 Review and Educate:
Once we speak and we evaluate what you’re looking for, we can setup an appointment (remote, in person, at your convenience and however you are comfortable) to go over plan options and answer any/all questions and concerns you may have.
3 Decide:
We find the plan that meets your needs, go over it and you make the decision from there if you’d like to enroll or not—we offer a wide array of plans and should be able to find one that meets your needs, but if not, then this is where we say our good byes—but it doesn’t have to be forever, you can call us anytime you change your mind, have questions or need overall guidance 😊
4 Enrollment:
We enroll you in the plan that best meets your needs and you and you are now at ease that this thing has been checked off your to-do list.
5 Continued Support:
We’re in this together! We don’t just enroll you and say good-bye, we are there for you every step of the way — we want to be your agent for years to come, so this is just the beginning of our relationship
Contact Us.
You can call us anytime at 631-640-7122, email us directly at info@longislandmedicareoptions.com or simply fill out the form below and someone will be in contact with you within 1 Business day, thank you.
Contact Information:
Long Island Medicare Options
P.O. Box 6140
North Babylon NY 11703
631-640-7122
Frequently Asked Medicare Questions.
How do I qualify for Medicare?
You qualify for full Medicare benefits if:
• You are a U.S. citizen or a permanent legal resident who has lived in the United States for at least
five years and
• You are receiving Social Security or railroad retirement benefits or have worked long enough to be
eligible for those benefits but are not yet collecting them.
• You or your spouse is a government employee or retiree who has not paid into Social Security but has
paid Medicare payroll taxes while working.
You qualify for full Medicare benefits under age 65
if:
• You have been entitled to Social Security disability benefits for at least 24 months (that need not
be consecutive); or
• You receive a disability pension from the Railroad Retirement Board and meet certain conditions; or
• You have Lou Gehrig’s disease, also known as amyotrophic lateral sclerosis (ALS), which qualifies
you immediately; or
• You have permanent kidney failure requiring regular dialysis or a kidney transplant — and you or
your spouse has paid Social Security taxes for a specified period, depending on your age.
What are the different parts of Medicare?
Medicare Part A (Hospital) Part A typically covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. Medicare Part B (Medical/Outpatient) Part B typically covers the care you get when you go to a doctor’s, outpatient care, medical supplies, and preventive services. Medicare Part D (prescription drug coverage) Covers the cost of prescription drugs which typically have a deductible and certain copays Medicare Part C Medicare Part C is also called Medicare Advantage and is another is an additional insurance option for people who are eligible for Medicare. These plans are offered through private insurance companies. These plans offer everything original Medicare offers with added “extra benefits” depending on the plan—some include dental, vision, OTC cards, and Gym Benefits.
What is the Medicare Deductible for 2021-2022?
Part A Hospital Deductible for 2021: $1,484 in 2021
Part B Medical Deductible for 2021: $203 in 2021
Part B Standard Premium for 2021: $148.50
What Does Medicare Annual Enrollment Mean?
Each year From October 15 – December 7 Medicare Beneficiaries can join, switch, or drop a plan. Your coverage will begin on January 1 (as long as the plan gets your request by December 7).
When is the Medicare open enrollment period 2022?
Medicare Open Enrollment Remains the same as it was in
2021 for 2022. Additionally, from January 1 to March 31 of 2022:
• Individuals enrolled in a Medicare Advantage (MA) plan can make a one-time election during the Open Enrollment Period (OEP). Individuals may add or drop Part D coverage during the MA OEP.
• Individuals enrolled in either MA-only or MAPD plans can switch to: MA-only, MAPD, or Original
Medicare (with or without a standalone Part D plan).
• Additionally, newly MA-eligible individuals who enroll in a MA plan can also make a one-time
election to switch plans (same plan changes as above are permitted).
Low Income Subsidy & Dual Special Enrollment Period 2022
According to the Centers for Medicare & Medicaid Services (CMS), the
Low-Income Subsidy (LIS)/Dual Special Enrollment Period (SEP) that allows low income and Medicaid
eligible beneficiaries to make changes to their Medicare Advantage and prescription drug plans all year
long is changing. LIS/Dual eligible individuals will no longer be allowed unlimited SEP changes
throughout the year. Instead, they will be limited to one SEP change per quarter.
In 2022, the LIS/Dual SEP can be used once per calendar quarter during the
first nine months of the year, that is, one election during each of the following time periods:
• January-March
• April-June
• July-September
For example, if a customer has full extra help and became a member with another plan in May, the
earliest she can become a member with Healthfirst is August.During the last quarter of the year
(October-December), a beneficiary can use the Annual Election Period to make an election that would be
effective on January 1.
How do I apply for Medicare?
You may apply for Medicare by calling the Social Security Administration at 1-800-772-1213 or by applying on-line at: https://www.ssa.gov/medicare/. You may be required to submit proof that you have applied for Medicare.
What are my Medicare options here on Long Island?
There are many plan options here on Long Island — please contact us so we can find the plan that best suits your needs.
How do I replace my lost Medicare card?
Sign into Social Security to request a replacement (https://www.ssa.gov/) OR Call 1-800-MEDICARE to replace your Medicare Card
How do determine if my perscription drug is covered?
Different Medicare plans have different formularies that list what kind of drugs are covered by that peticular plan. Formularies can differ from plan to plan. Part of the service we offer is checking your individual prescriptions against plan formularies to make sure that they are covered. You may contact us so that we can provide you with the plan options that cover your specific drugs.
Does Medicare cover durable medical equipment?
Typically, yes-- Medicare Part B covers medically necessary Durable Medical Equipment (DME) if your doctor prescribes it for use in your home
Does Medicare cover Dental Visits?
Typically, no but will pay for certain dental services that you get when you're in a hospital, however, Some Medicare Advantage Plans (Part C) offer extra benefits that Original Medicare doesn’t cover - like vision, hearing, or dental. Contact us so we can discuss these plan options with you