Diana Pedersen, Medicare Insurance Agent

About Me

I’m a Medicare insurance agent focused on serving my local community. Medicare is my specialty for the last 20+ years, and I’m here to help you find the plan that best fits your unique needs and budget. I take care of researching and comparing options from top national and local providers, so you can make the best informed decision for your medical plan. And the best part? My services are completely free to you. Contact me today to explore your Medicare options, and don’t forget to mention you found me through Medicare Agents Hub!

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Q&A with Diana Pedersen

Why are people leaving Medicare Advantage plans?

Answer: 1.Network Restrictions: MA plans can have limited provider networks

2.Prior Authorization Delays and Denials: MA plans frequently require prior authorization for treatments, which can delay or deny care.

3.Plan Terminations and Market Exits

4.Difficulty Switching Back to Original Medicare:

I'm worried about choosing the wrong plan and being stuck with it. How often can I change my Medicare coverage?

Answer: There are two types of plans -

1. Medicare Supplements: you can typically change anytime during the year as long as you qualify medically on some plans

2. Medicare Advantage plans: after your first 12 months, you are only able to change during the Annual Enrollment Period, or Open Enrollment Period or a Special Enrollment Period.

I'm worried about the 'donut hole' in my Part D plan. How do I manage my medication costs once I enter it?

Answer: The "Donut Hole" has been eliminated for 2025. There is a cost for Prescriptions for the year of $2000 as long as they are covered medications. Also, there is a program call mppp or m3p that will help break down the costs over a 12 month period. Please give me a call and I can help explain this~

Is Medicare's coverage for cataract surgery enough, or do seniors still face high out-of-pocket costs?

Answer: Medicare Part B covers 80% of the cost of cataract surgery and post-surgical corrective lenses. You must first meet the annual deductible, which is $257 in 2025, and pay 20% of the cost of cataract surgery. A Medigap plan will cover the remaining 20% cost you are responsible for paying.