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Who do we help?
  • Employers
  • MedicaidMedicare Eligible
  • Individuals 65+
  • Veterans
Home
Who do we help?
  • Employers
  • MedicaidMedicare Eligible
  • Individuals 65+
  • Veterans
More
  • Home
  • Who do we help?
    • Employers
    • MedicaidMedicare Eligible
    • Individuals 65+
    • Veterans
  • Home
  • Who do we help?
    • Employers
    • MedicaidMedicare Eligible
    • Individuals 65+
    • Veterans

Individuals age 65+ and Social Security disabled under 65

How to apply for Medicare:

  • Individuals can apply for Medicare several different ways:
    • Call Social Security at 1-800-772-1213
    • Sign up online at www.ssa.gov/medicare/sign-up
    • In person at local Social Security office
  • Information needed to apply for Medicare:
    • Social Security number
    • Where you were born (city, state, country)
    • Start and end dates for any current group health plan coverage
    • Start and end dates for any group health plan coverage after age 65


  • For Part B only:
    • Valid email address
    • Your existing Medicare number


  • Penalties may apply if you delay your Medicare enrollment without having acceptable (creditable) coverage

Medicare and Private Insurance

What does Medicare pay for?:

  • Part A pays for inpatient expenses subject to per day copays with NO annual out of pocket maximum
  • Part B pays 80% for doctor expenses with NO out of pocket maximum
  • Part D pays for part of your prescription expenses


Two Private insurance options to reduce Medicare out of pocket exposure:


  • Medicare Supplement – 
    • You keep your Original Medicare plans and Medicare Supplement fills the “gaps” in eligible Medicare expenses where Medicare doesn’t pay. 
    • There are different Medicare Supplement policies that cover different levels of Medicare Part A and B expenses


  • Medicare Advantage - 
    • Private insurance takes over for your government Medicare Part A, Part B and possibly Part D. 
    • Medicare Advantage will cover at least what Medicare would have paid and may cover more Medical expense as well.


  • Is a Medicare Supplement or a Medicare Advantage plan best for you? That is an individual question that is best answered after discussing an individual's specific circumstances

Contact Us

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Tristate Senior Plans, LLC

Email: Jim@TristateSeniorPlans.com Call us at 513-202-3478

Hours

Mon

08:30 am – 04:30 pm

Tue

08:30 am – 04:30 pm

Wed

08:30 am – 04:30 pm

Thu

08:30 am – 04:30 pm

Fri

08:30 am – 04:30 pm

Sat

Closed

Sun

Closed

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  • Employers
  • MedicaidMedicare Eligible
  • Individuals 65+
  • Veterans

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