Medicare

Guidance

Made Simple

Understanding Medicare can feel overwhelming.

Hill Insurance & Benefits provides personal, straightforward

guidance to help you understand your coverage options

and make an informed decision.

Whether you’re approaching age 65, retiring, or reviewing

your current coverage, you don’t have to navigate Medicare alone.

Get Clear Answers About Medicare

Medicare offers important health coverage, but understanding its different parts, enrollment periods, costs, provider networks, and prescription drug coverage can be challenging.

We take the time to learn about your needs, explain your options in plain language, and help you compare available plans based on factors that matter to you.

UNDERSTANDING MEDICARE

The Different Parts of Medicare

MEDICARE PART A

Hospital Insurance

Part A generally helps cover inpatient hospital care, skilled nursing facility care, hospice care, and certain home health services.

MEDICARE PART B

Medical Insurance

Part B generally helps cover services from doctors and other healthcare providers, outpatient care, preventive services, durable medical equipment, and certain home health services.

MEDICARE PART C

Medicare Advantage

Medicare Advantage plans are offered by Medicare-approved private insurance companies as an alternative way to receive your Medicare Part A and Part B benefits. Many plans include prescription drug coverage and may offer additional benefits.

Plan availability, provider networks, costs, benefits, and coverage rules vary by plan and location.

MEDICARE PART D

Prescription Drug Coverage

Part D helps cover the cost of prescription medications. Coverage may be obtained through a standalone Medicare prescription drug plan or included with certain Medicare Advantage plans.

Each plan has its own formulary, pharmacy network, premiums, deductibles, and cost-sharing requirements.

YOUR COVERAGE OPTIONS

Two Main Ways to Receive Medicare Coverage

ORIGINAL MEDICARE

Original Medicare includes Part A and Part B and is administered by the federal government.

People with Original Medicare may also choose to purchase:

• A Medicare Supplement insurance policy to help with certain out-of-pocket costs

• A standalone Medicare Part D prescription drug plan

• Separate dental, vision, or hearing coverage

MEDICARE ADVANTAGE

Medicare Advantage, also known as Part C, is offered through Medicare-approved private insurance companies.

These plans provide Part A and Part B coverage. Many include prescription drug coverage and may offer additional benefits that Original Medicare does not cover.

Provider networks, referrals, prior authorization requirements, premiums, copayments, benefits, and service areas vary by plan.

MEDICARE SUPPLEMENT INSURANCE

Help With Certain Original Medicare Costs

Medicare Supplement insurance, also called Medigap, works alongside Original Medicare.

Depending on the policy, it may help cover certain deductibles, copayments, and coinsurance that Original Medicare does not pay. You must generally have Medicare Part A and Part B to purchase a Medigap policy.

Medigap policies do not generally include prescription drug coverage, so a separate Part D plan may be needed.

Insurance advisor reviewing coverage options with a mature couple

WHO WE HELP

Personal Medicare Guidance for:

• Individuals approaching their 65th birthday

• People preparing to retire or leave employer coverage

• Medicare beneficiaries reviewing their current coverage

• Individuals who recently moved to a new service area

• People who qualify for a Special Enrollment Period

• Family members helping a parent or loved one understand Medicare

OUR PROCESS

How We Help You Evaluate Your Options

WE LISTEN

We begin by learning about your healthcare priorities, doctors, prescription medications, preferred pharmacies, budget, and current coverage.

WE EXPLAIN

We explain the available coverage paths in straightforward language, including important costs, provider networks, prescription coverage, and plan rules.

WE COMPARE

We help you compare the Medicare plan options we represent that are available in your service area.

WE PROVIDE CONTINUED SUPPORT

Our relationship does not end after enrollment. We remain available to answer questions and help you review your coverage as your needs or available options change.

ENROLLMENT TIMING

When Should You Begin Reviewing Medicare?

For most people, the Initial Enrollment Period surrounding their 65th birthday lasts seven months:

• Three months before the month you turn 65

• The month you turn 65

• Three months after the month you turn 65

Your individual enrollment timing may be different if you continue working, have employer-sponsored health insurance, qualify for Medicare due to disability, or experience another qualifying event.

Starting early gives you time to understand your choices and avoid feeling rushed.

Why Choose Hill Insurance & Benefits?

Personal Service. Clear Answers. No Pressure.

Working with Hill Insurance & Benefits means having a licensed insurance professional who will

take the time to listen, answer your questions, and help you compare your available options.

• Personal one-on-one guidance

• Clear explanations without confusing insurance jargon

• Coverage based on your individual needs and budget

• Ongoing support after your policy or plan begins

• Local service with phone and virtual appointments available

Frequently Asked Medicare Questions

Common Medicare Questions Answered for your convenience.

Do I automatically receive Medicare when I turn 65?

Some people are automatically enrolled in Medicare Part A and Part B, while others must actively sign up. It generally depends on whether you are already receiving Social Security or Railroad Retirement Board benefits before turning 65.

What is the difference between Medicare Advantage and Medicare Supplement?

Medicare Advantage is an alternative way to receive your Medicare Part A and Part B benefits through a Medicare-approved private insurance company.

Medicare Supplement insurance works alongside Original Medicare and helps pay certain costs that Original Medicare does not cover. You cannot use a Medicare Supplement policy to pay Medicare Advantage plan costs.

Do Medicare Advantage plans include prescription drug coverage?

Many Medicare Advantage plans include Part D prescription drug coverage, but plan features vary. It is important to review a plan’s formulary, pharmacy network, costs, and coverage rules before enrolling.

Can I keep my current doctors?

That depends on how you receive your Medicare coverage and the specific plan. Medicare Advantage plans may use provider networks. Before choosing a plan, we can help you verify whether your doctors and preferred healthcare facilities participate in the plan’s network.

Can I change my Medicare coverage later?

Medicare Advantage and prescription drug plans can generally be changed only during applicable enrollment periods or when you qualify for a Special Enrollment Period. The rules for obtaining or changing Medicare Supplement insurance are different and may involve medical underwriting outside certain protected periods.

Does it cost anything to speak to you?

There is no charge for an initial Medicare consultation. We’ll discuss your needs, answer your questions, and help you understand the options available through Hill Insurance & Benefits.

Let’s Make Medicare Easier to Understand

You deserve clear answers and personal guidance when making an important healthcare coverage decision.

Schedule a complimentary Medicare consultation with Kerry Hill and take the next step with confidence.