Jeff LeSourd, Medicare Insurance Agent
About Me
Hi! My name is Jeff, and I am your dedicated Medicare consultant and agent. My passion is to help educate fellow seniors on the confusing Medicare choices. I am committed to assisting you in finding the most suitable plan that aligns with your unique needs and budgetary constraints. I will tackle the challenge of sifting through plans from nationally and locally recognized companies, so you don't have to. What's more, my services are entirely FREE! Reach out to me today to explore your Medicare insurance options and be sure to mention that you discovered me on Medicare Agents Hub!
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Q&A with Jeff LeSourd
I'm still working at 67, and I don't know if I need Part B. Why is something so basic so hard to figure out?
Answer: If you are working for an employer that offers “creditable health insurance” you can delay enrolling in Part B Medicare once you are 65. Your HR dept can advise if your company insurance is creditable. It is very confusing!!
Also the company MUST have 20 or more employees to avoid penalty. If not, then you have to enroll in Medicare Part B to avoid penalty at age 65 as Medicare is primary insurance for people at companies with less than 20 employees.
Once your employment ends you will have a short window to enroll in Part B without penalty.
So I heard something about Medicare drug costs being capped at $2,000 in 2025. Is that really happening or just talk?
Answer: Yes that is actually implemented for 2025 for Rx drugs that meet the requirements. The Rx drugs MUST be on the Part D plans formulary for the $2,000 cap to apply. Once you reach the $2,000 level for approved Rx drugs, you will not have to pay anything more for future approved drugs in the same calendar year.
How can I estimate my total Medicare costs if I have a chronic condition like diabetes?
Answer: Once you accept Medicare Part B, the monthly cost of that benefit in 2025 is $185/month. Currently insulin only costs $35/month which is a huge cost savings. There may be other Rx drug costs that can be analyzed and estimated by a Medicare professional. They can help get the least expensive Rx drug plans for your specific Rx costs.
You can also go to medicare.gov and do an analysis of Part D Rx drug plans and get a rough estimate for your zip code.
Are Medicare Advantage plans really "free," or is that just clever marketing?
Answer: Everyone on Medicare Part B must pay the Part B premium to CMS which currently is $185/month.
There may be a no cost monthly premium for most Medicare Advantage plans. However, there are other costs that may apply like copays, coinsurance and Maximum Out of Pocket costs for medical services. Medicare Advantage plans have pros and cons as does Original Medicare with Medigap Supplement plans.
The best suggestion is to talk to a Medicare professional who can fully educate you on the true costs and benefits of MA plans vs. Medigap Supplemental plans. This is a critical decision and seniors need to be completely educated on Medicare to avoid expensive mistakes down the road.
What do you like most about being a Medicare agent?
Answer: As a senior I love sharing about the benefits of Medicare to other seniors. I especially love discussing how the $257 annual deductible compares to the typical High Deductible Health Plans I contributed to for over 25 years!!