Kimberly McPherson, Medicare Insurance Broker
Kimberly McPherson
McP Insurance Solutions
Medicare Broker Licensed in AL, AR, AZ, FL, GA, IL, KS, MN, MO, MT, NC, NE, OH, OK, SC, TX and VA
7+ Years of Experience
Contact Details
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Location
Garfield, AR
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Kimberly Can Help With:
About Me
Hi! My name is Kimberly, and I am your dedicated Medicare consultant and agent. My focus is on Medicare, and 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!
Q&A with Kimberly McPherson
What do you like most about being a Medicare agent?
Answer: I love working with seniors. Prior to becoming a Medicare agent, I was an Occupational Therapist for over 24 years, working with the senior population. When a person transitions to Medicare, it is very important to get on the right plan, understand the benefits and make sure they have the coverage they need. I love getting to know my clients and building trust so that the client I am working with feels confident that they are enrolling in the right product for them. I also enjoy the follow up year after year with my Medicare clients. It is not just about a sale - it is about buidling a long-term relationship where my clients know they can reach out to me with any questions or concerns.
Are Medicare Advantage plans really "free," or is that just clever marketing?
Answer: "Free" is not a term us agents and brokers should use. Nothing is really free. The cost per month for most Medicare Advantage plans is $0. Some Medicare Advantage plans have a cost associated with them. It's important to know that the Medicare client still needs to maintain Medicare Parts A and B in order to keep their Medicare Advantage plan. Once a client is enrolled in a Medicare Advantage plan, there are "copays" for everything. Copays for doctor visits, copays for hospital stay, copays for surgery, etc. Each plan is different and these copays vary based on the plan. As a Medicare broker, I can help you understand the details and costs associated with your Medicare Advantage coverage.
I've got Medigap Plan C, and I'm curious if my recent bloodwork is included or if I need to budget for extra costs.
Answer: With Medigap Plan C, you will not owe anything out of pocket for bloodwork as long as it is a Medicare covered service. Medicare Part B will cover 80% of the labs and your Plan C will pick up the remaining 20%.
Can you help me understand Maximum Out-of-Pocket (MOOP) limits in Medicare plans, from your experience as an agent?
Answer: Maximum out of pocket (MOOP) is the most you pay out of pocket for the year for your medical bills. If you are on a Medicare Advantage plan, you will have a MOOP, for example, $5,000. You will have copays for everything throughout the year, such as $300 per day for days 1-6 for a hospital stay, $30 to see a specialist, $80 for x-rays, etc. These copays add up towards your MOOP. Once you have paid that maximum amount out of pocket (in this example $5,000), you have met your MOOP for the calendar year and evertyhing else beyond that is covered at 100%. If you have original Medicare with a Medicare Supplement (Medigap) plan and Part D prescription drug plan, here is what you can expect: Starting in 2025, the MOOP for Medicare Part D drug plans is $2,000. That is the most you will pay out of pocket for your prescriptions for the year. Once you hit that, your prescriptions are covered at 100% as long as they are on your plan "formulary". For the medical side, there is not a MOOP with Original Medicare; however, your Medicare A and B combined with your Medigap plan limits what you owe out of pocket. If you have Medigap Plan F or C, you will owe nothing for medical expenses. If you have Medigap Plan G or N, you will owe the Part B deductible out of pocket ($257 in 2025) and then you are covered at 100%. Plan N has some additional copays associated with it as well.