Edward Wooten, Medicare Insurance Broker
About Me
Edward Wooten, Medicare Broker, is a trusted expert dedicated to helping individuals navigate the complexities of Medicare coverage. With a strong focus on customer satisfaction, Edward provides personalized guidance and support to ensure each client receives a Medicare plan tailored to their unique needs, goals, and budget.
Q&A with Edward Wooten
My doctor wants me to get several preventive screenings. Will Medicare cover all of these at once?
Answer: Your part B covers many preventative services. Medicare may cover some services and tests more often if those services are needed to diagnose or treat a condition. Majority of services are covered if administered by a doctor or other qualified health care provider that accepts your plan, however, you could be responsible for your deductible.
What if I missed my window to sign up?
Answer: If your employment or health coverage ended within the past 8 months, whichever happened first, you may qualify for Special Enrollment. You might also be eligible if you're currently covered under a group health plan or have an exceptional situation. If neither of these situations apply, you can enroll during the General Enrollment Period, which runs from January 1 to March 31.
When is the best time of the year to start looking at Medicare options?
Answer: Once you are approaching 65 or contemplating retirement if you're working past 65 is a good time to start researching. Prior to the beginning of your first 3 months of the seven-month window (IEP-Initial Enrollment Period) is worthwhile. Any changes to existing Advantage plans are released mid-October so contacting an agent can make it easier to decide if your current plan will continue to fit your needs.
What's one Medicare decision that too many people regret later?
Answer: If you are still working, deciding to join or delaying Medicare can be a big decision. There are a few factors that can come in to play if you are thinking about delaying. Be proactive and contact an agent to help you avoid making a costly mistake.
What's the best way to avoid surprise bills for lab tests under Medicare Advantage?
Answer: Most plans will and do cover medically necessary lab tests and preventive screenings that your physician orders. Engage in conversation with your physician and nurse so you understand why the tests are being ordered and performed. You and your doctor being on the same page leads to a healthier you!
Why do some seniors end up paying lifelong penalties for Medicare Part B or Part D?
Answer: Enrolling in Medicare when you are first eligible is crucial to avoid being penalized, however, if you continue to work past your IEP (initial enrollment period) you may be able to delay your enrollment by having creditable coverage. The two main reasons you would be penalized is not enrolling during your window and/or not having creditable coverage.
I picked a Medicare Advantage plan last year, and I'm not sure if my hearing aids are covered. How do I figure this out?
Answer: Majority of Advantage plans include hearing coverage. There are a few ways to verify:
1. Contact your agent (fastest)
2. Review your plan booklet or documents
3. Create an online account, which is a great way to stay informed about your plan including any perks your plan may offer.
4. Call the company you are insured with
What are some ways to save on prescription drug costs?
Answer: There are many options to help get the costs of your prescriptions lowered. Ask your physician if there is a generic or alternative option for you. There are many online sites offering help with certain prescriptions. You may also contact the drug manufacturer, your insurance company, and or speak to your pharmacist to see if there is another option or payment plan.
What is the biggest disadvantage of the Medicare Advantage plans?
Answer: Majority of advantage plans are similar to plans you may have through an employer. Including major medical coverage you may have also received vision, dental, hearing. Advantage plans will have a network of doctors you may choose from, coverages and the max out of pocket may be adjusted from year to year, and flexibility to choose a different plan each year.