Jay Carlton, Medicare Insurance Agent
About Me
I have been helping people with Medicare for over 9 years. I have specialized in Medicare and am devoted to helping find the best plan that matches your specific needs. I look forward to building a relationship with you and being an advocate you can count on for life.
Q&A with Jay Carlton
What's one piece of advice you wish every senior knew before picking a Medicare plan?
Answer: While still working and have group insurance, you can defer Part B. Make sure to talk with an agent or Medicare and ask questions.
Does Medicare pay for telehealth visits with specialists, or is it limited to primary care?
Answer: Medicare's Part B allows for you to do telehealth with both a Primary Care and a Specialist. They are covered in the same way as if you wast to go in person.
I got a call from a "Medicare agent" promising me free groceries and I almost fell for it. Why is this kind of marketing allowed?
Answer: This is not allowed and against CMS (Center for Medicare and Medicaid Services) rules, you can report the agent and the company for this act. With that said, there are plans that have built in amounts for groceries and over the counter items. Check with your local agent.
I'm on Original Medicare with no supplement, and I'm wondering how much I'd pay if I need an ambulance ride to the hospital tomorrow.
Answer: You will have a charge of the Part B deductible first which as of 2025 will be $257 and then 20% of the charge of the ambulance company charge in your area (state/city) you live.
I'm turning 65 next month; what are the first steps I should take regarding Medicare enrollment?
Answer: Great question! If you are still working and have credible insurance coverage (employer coverage), you will be able to defer Part B and have Part A coverage. Call to talk with social security, or call your local insurance agent for help. If you are retired and taking ssi you will receive medicare in the mail automatically or should have received it. You also can log in to ssa.gov website and fill out the information to sign up for Medicare Part A and Part B.
My doctor mentioned something about Medicare not covering my procedure. How do I find out for sure before I get stuck with a bill?
Answer: One of the best ways to check on this is to go in to Medicare dot gov and you can look under the tab Providers & Services, you can do a search there. Also if you are on a plan C, you can call your plan carrier to help answer your question.
If you had to pick just one, what's the worst Medicare-related decision someone can make?
Answer: Not getting all your answers answered. Also not making sure you have signed up for at least a Part D plan. Not understanding what Medicare is and/or does, can cost you a lot over time.
How do you educate clients who are completely new to Medicare?
Answer: I start by talking about what Medicare is, as well as all the parts to it. Part A, Part B, what is Part C and Part D. What is the deductibles and coinsurances and/or copays are that come with Medicare. Answer any questions that they may have as well.