Medicare Guide

Tonda Bradshaw, DO with senior patient

Talk to a Medicare Expert

 Call (909) 792-4410 (TTY 711)

  - Free Medicare help with a licensed, independent agent, Dave Nash
  - Discuss your plan options
  - No obligation or fees - great service
  - Can set-up an in-person appointment

Compare your Medicare options online:

Review and find a coverage option for you online at www.eHealthMedicare.com/RYMG

 

Medicare Meetings are temporarily cancelled

 

Medicare Advantage Plans

Seniors on Medicare parts A&B are able to use their insurance at Redlands Yucaipa Medical Group. The group also accepts many Medicare plans including Medicare Advantage plans, Medicare PPOs/supplemental plans. Additional medical services are covered through Medicare Advantage plans that are not paid for under parts A & B of Original Medicare. The Advantage plans we accept also limit your annual out-of-pocket costs and include prescription drug coverage. Private insurance companies contract with Medicare to provide you with all of your Part A and Part B benefits through Medicare Advantage plans.

Medicare Advantage Plans Accepted 

  • AARP by United/Secure Horizons including Focus and Medicare Complete Plans
  • Aetna
  • Blue Shield  including 65 Plus and Choice Plans
  • Health Net Senior including the Gold plan
  • IEHP – available only for people on both Medi-Cal and Medicare
  • InterValley
  • United HealthCare (listed under AARP above)
  • SCAN Health Plan

Original Medicare

Seniors on parts A&B only are able to call to schedule an appointment at any time. Without additional supplemental coverage (an Advantage plan or PPO plan) they will pay 20% of the cost of the doctor’s visit.

Medicare Supplemental Plans (Medi-Gap or PPO plans)

Some people choose a Medicare supplemental plan that picks up the costs (20%) not covered by original Medicare. There is a monthly cost for these plans, plus participants need to buy a separate Part D plan to cover prescription costs. Usually people that can afford an extra $150-$200 per month for coverage that want to be able to walk-in to any Medicare office choose these types of plans.

Open Enrollment

Annual Enrollment period for choosing or switching your Medicare plan is October 15th to December 7th. Some of the reasons you can qualify to enroll at other times of the year: if you retire and lose coverage, move to a new service area, or qualify for Extra Help/assistance from the state. People who turn 65 are also able to enroll during the month of their 65st birthday and the 3 months before and after.

Medicare Advantage Open Enrollment Period Jan 1 - March 30. If you’re in a Medicare Advantage Plan (with or without drug coverage), you can switch to another Medicare Advantage Plan (with or without drug coverage). You can drop your Medicare Advantage Plan and return to Original Medicare. You'll also be able to join a Medicare Prescription Drug Plan.

Extra Help for Medicare Costs

If you are living on a fixed income you may qualify for Extra Help paying for your prescription drug costs, monthly Part D premiums and/or annual deductible. You may also qualify for a Medicare Savings Program from the State for assistance with Part A and Part B costs. An agent can explain the Extra Help program and help you apply: call Dave Nash at (909) 792-4410. You can also directly contact Social Security Administration directly to apply at SSA.gov or call 1-800-772-1213, TTY 1-800-325-0778, 7 a.m. to 7 p.m. local time, Monday through Friday.

The official Medicare website from the US Government is  www.medicare.gov. Call them at call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048, 24 hours a day, seven days a week.

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