Harshil Patel, Medicare Insurance Broker

About Me

Medicare can be confusing — but you don’t have to figure it out alone. I help you compare plans, understand your choices, and pick coverage that fits your needs. I’ve spent years helping people in pharmacies make smart coverage decisions, and I’m here to make things easier for you too.

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Q&A with Harshil Patel

Answer: Yes, Medicare Part B covers many cancer screenings to aid early detection. Common screenings include annual mammograms, colorectal exams, prostate tests, cervical/vaginal tests, and annual lung cancer screenings, often at no cost based on the provider. The number of times someone can get screenings varies on your risk and the current guidelines.

Answer: Coverage varies by drug plan though this medication is often covered at a higher (more expensive) tier on Part D plans. Depending on the plan and your eligibility for additional assistance, your cost may differ. It is important to review this with your agent on the annual review to ensure the plan continues to be appropriate for your needs.

Answer: Caregiving transitions are difficult for everyone in the family. They can lead to guilt, fear, denial, and burnout. Families often face grief, anxiety regarding care decisions, and resentment from overwhelming responsibilities. These feelings are often compounded by isolation and navigating difficult decisions. There are community resources available to support and connect folks going through these difficult times. These differ by community and geography

Answer: Medicare provides coverage for medical nutrition therapy and certain supplements, but they are limited to strict rules. Medical Nutrition Therapy is covered for some folks with diabetes, renal disease, or 36 months post-kidney transplant. Supplements are generally not covered unless deemed medically necessary and prescribed for specific conditions.

Answer: Guaranteed Issue for Medicare Supplement plans allows you to buy a policy, regardless of health status, and the insurance cannot charge higher premiums. It applies during specific, limited windows which may vary based on your state's laws. Speaking to a broker in your state will provide you with more information on what is allowed in your state.

Answer: For Medicare Part A coverage, you must be formally admitted as an

inpatient. Staying overnight for "observation" is considered an outpatient service and is billed under Part B, not Part A. Even with Part A coverage, you are responsible for a $1,736 deductible per benefit period in 2026, which covers your first 60 days of inpatient. It is important to review with a broker your options for your responsibility, whether through a supplement or moving to an advantage option.

Answer: You do not have to sign up for Medicare again - your Medicare shifts from "disability-based" to "age-based" when you turn 65. You do have the opportunity to make changes in the enrollment period like looking at supplement or advantage plans. If you would like to review the options, reach out to a local agent.

Answer: When reviewing the Annual Notice of Change, consider the premium, deductible, and copay adjustments, as well as changes to network doctors, pharmacy networks, and drug tiers. You can also look at changes to any other benefits that see important for you.

If there's something missing or changed, talk to your agent or the carrier.

Answer: Medicare Supplement plans are worth it for some people, depending on their health and financial situation. These plans provide predictable costs and provider flexibility, since providers that accept Medicare will accept the supplement. However, they are not for everyone. If someone needs specific coverage that is not covered by traditional Medicare, like vision, dental, etc. they would need to buy that separately. Each person needs to consider their own health, expected medical costs, and finances.

Sitting with an agent to lay out the options, differences in coverage among different supplement plans as well as advantage plans.

Answer: Medicare covers short-term skilled care, not custodial or long-term care. Once Medicare stops paying (when care is no longer skilled or you hit 100 days), you'll need to pay privately, use LTC coverage,or explore Medicaid for the costs of ongoing care. You should talk to the social worker if Medicaid is an option, otherwise you will need to explore LTC plans.

Answer: It would be best to speak with an agent to review your options. You may have options to make a change if the plan selected is not working for you, based on your individual circumstances. Alternatively, you can review the list of covered medicines (called a formulary) with your doctors to see if there are other medication options.

Answer: Hello

Yes Medicare covers mammograms as preventative care. They are covered annually, generally.

For more detail please take a look at the Medicare page:

https://www.medicare.gov/coverage/mammograms