2015 MEDICARE CHANGES Daily Location: - PowerPoint PPT Presentation

PURPOSE Just about every year Medicare changes and adapts. Beneficiary’s costs; including premiums, deductibles, coinsurances, and co-pays can go up, down, or remain the same. Rules and requirements about how to receive services can change and the steps beneficiaries need to take to protect themselves are fluid. How Medicare works with other programs such as Medicaid, LIS, and others can be affected. What works one year might not work the next. It is the purpose of this program to shed some light on Medicare beneficiary’s entitlements, rights, and responsibilities under Medicare. This is not a sales presentation program. No specific insurance plans will be discussed during this program. Todd Oldfield Your Cool Insurance Agent, The “Medicare Ninja” “2015 MEDICARE CHANGES” Daily Location: ____________________________________ Dates: _____________ Hours : ____________ Coming Changes & How They Might Affect You! Date of Presentation: __________ Location of Presentation: _________________ # of Aging In : ____ # of Current: ____

“ 2015 Medicare Changes ” Program Agenda By Michael Todd Oldfield (Licensed Agent, KyDOI # 814418) THE CLASS: A SIDE BY SIDE COMPARISON OF WWW.MEDICARE.GOV & “MEDICARE & YOU” Medicare.gov “Medicare & You” Manual 2014 vs. 2015 Comparison The best source of the most up-to- The “Medicare & You” manual is sent Use this Column as a date information on Medicare. out to all Medicare beneficiaries in the Place to Take Notes Simply type www.medicare.gov to month of September. If you would like or List Questions You visit. Let’s Discuss Various Pages to download a copy, go to Wish to Ask… http://www.coolinsurancegroup.com/20 on this site… 15-medicare-manual/ CLASS FORMAT / MEDIA USED… In this presentation, I will use two items ; the www.Medicare.gov website and the most current version of the “Medicare & You” manual. Each year, in September, Medicare beneficiaries are sent their manuals for the coming year. You should have received your 2015 manual by now. If not, you should inquire. DISCLAIMERS…  This is not a sales presentation. No plan specific information can be shared , as required by Medicare’s CMS (Center for Medicare & Medicaid Services – Medicare’s governing body). We will not be talking about specific options for avoiding costs. If you need help, that can only be done in a one-on-one appointment.  No contact information will be collected nor required for participation in this event. Sit back. Relax. No one is here to pester you for the next 100 years.  Speaker’s business cards are NOT distributed at this event. If you would like my assistance, I am happy to help and will be in town for a short time. There is no charge to you for my counsel. I am compensated directly by plan sponsors for enrolling and servicing their members. Your particular case – During and after the presentation, I can take a moment to answer very general questions about Medicare and various options, but for  complicated matters, I would highly advise that you meet with an adviser and let them assist you further. “Medicare & You” – “The 2015 Medicare premium and deductible amounts weren’t available at the time of printing. To get the most up -to-date cost information,  visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. ” – Page 12 THE “MEDICARE NINJA” - Michael “ Todd ” Oldfield is a licensed (KY DOI#814418) health insurance agent with the Cool Insurance Group in Lexington, Kentucky. He is compensated by health insurance companies to enroll and serve members of their plans. Todd is appointed to Humana, Anthem Blue Cross/Blue Shield, UnitedHealthcare AARP Plans, Cigna, and United of Omaha and many other Medicare-focused plan companies. He has been certified by AHIP and each plan sponsor, each year of his career. For many beneficiaries, Todd’s job is to be “that guy” they call if they would like to have more personal service or enrollment assistance; rather than an 800# to a nameless, faceless person a long ways away. I am YOUR Medicare NINJA! Page 1

“ 2015 Medicare Changes ” Program Agenda By Michael Todd Oldfield (Licensed Agent, KyDOI # 814418) THE CLASS: A SIDE BY SIDE COMPARISON OF WWW.MEDICARE.GOV & “MEDICARE & YOU” Medicare.gov “Medicare & You” Manual 2014 vs. 2015 Comparison The best source of the most up-to- The “Medicare & You” manual is sent Use this Column as a date information on Medicare. out to all Medicare beneficiaries in the Place to Take Notes Simply type www.medicare.gov to month of September. If you would like or List Questions You visit. Let’s Discuss Various Pages to download a copy, go to Wish to Ask… http://www.coolinsurancegroup.com/20 on this site… 15-medicare-manual/  SIGN-UP / CHANGE PLANS (BLUE TAB)  Signing up for Medicare Part A & B. Page 23-25  MyMedicare.gov (online account.  Where can I find personalized Medicare Top-right) information online? Page 135  Apply for Medicare Online – Transfers  If I’m not automatically enrolled, when can I to Social Security (for new sign up? Enrollment Periods - Page 25 beneficiaries only) o How does Medicare prescription drug  When & How to Sign Up for Medicare coverage (Part D) work? Page 97 Parts A & B  Learn about Medicare Advantage Plans (Part  How to Get Drug Coverage C) & Other Medicare Health Plans – Page 75  About Medicare Health Plans  Medicare Advantage Plans  Medical Savings Account (MSA) Plans  Other Medicare Health Plans Page 2

“ 2015 Medicare Changes ” Program Agenda By Michael Todd Oldfield (Licensed Agent, KyDOI # 814418) THE CLASS: A SIDE BY SIDE COMPARISON OF WWW.MEDICARE.GOV & “MEDICARE & YOU” Medicare.gov “Medicare & You” Manual 2014 vs. 2015 Comparison The best source of the most up-to- The “Medicare & You” manual is sent Use this Column as a date information on Medicare. out to all Medicare beneficiaries in the Place to Take Notes Simply type www.medicare.gov to month of September. If you would like or List Questions You visit. Let’s Discuss Various Pages to download a copy, go to Wish to Ask… http://www.coolinsurancegroup.com/20 on this site… 15-medicare-manual/  Section 8 - Get Help Paying Costs – Page 111  YOUR MEDICARE COSTS (BLUE TAB) 2014 2015  How does my other insurance work with Medicare?  Get Help Paying For Your Costs Part A Costs  Which Pays First? - Page 28 Costs at a Glance __$0 ___ Premiums ____________  Medicaid never pays first for services that Medicare  ___$1,216__ Deductibles ____________ Part A Costs Coinsurance  covers. - Page 29 Part B Costs _____$0____ Days 1 - 60 __________  Part A late Enrollment Penalty – Page 32 – 10%  Costs for Medicare Drug Coverage __304/day__ Days 61 – 90 __________  Medicare Part A Costs At a Glance  Part A Costs _$608/day__ Days 91 - 150 __________  ______________ Late Enrollment Penalty ___100%__ Over 150 Days ___________  Some people may pay a higher Part B premium  Costs & Assignment After 150 Days, You Pay All Costs  Page 32 – If over $85,000 (individual) or $170,000 Part B Costs Part B Costs (couple)  Part B Premium Costs by income _$104.90/Mo Premiums ____________  Part B late enrollment penalty – Page 33 – For each (2014) _$147/Annual_ Deductibles _____________ 12 month gap between when you could have had _80%/20% Split Coinsurance ______________  Costs for Medicare Drug Coverage Part B, and you chose not to – 10% Drug Coverage Costs  Monthly Premium for Drug Coverage  Monthly Premium – Page 100 Monthly / Drug Plan  Yearly Deductibles for Drug Coverage  Yearly Deductible – Page 101 __$31.20__ Premiums ___________  Copayments/Coinsurance in Drug ___$310___ Annual Deductible __________  Copayments / Coinsurance – Page 101 Plans Copayments or Coinsurance  Coverage Gap – Page 101-102  Costs in the Coverage Gap _$2,850_ Coverage Gap (Donut Hole) Begins _________  Catastrophic Coverage – Page 102  Catastrophic Coverage Begins once you have spent this amount on deductible and  Part D enrollment penalty – 1% penalty any time  total cost per drugs. PENALTY – 1% for every month that you go 63 or longer days in a row that you do not Costs in the Coverage Gap you do not have part D and should _47.5%_ Brand Name _______ have Part D or other “credible coverage”. – Page 104 have. _72%_ Generic Drugs ________ _$4,550_ Catastrophic Coverage Begins ________ 1-877-486-2048. For help comparing plan costs, contact Visit Medicare.gov/find-a-plan to compare the Getting out of the Donut Hole your State Health Insurance Assistance Program SHIP). costs of plans in your area. You can also call 1-800- What Counts? Deductible, Copays, Coinsurance, and See pages 141 – 144 for the phone number. MEDICARE (1-800-633-4227). TTY users should call Discounts on drugs you purchase. Premiums do not count. Page 3