Mike Fields, Medicare Insurance Agent
Mike Fields
Fields Health Insurance Group
Medicare Agent Licensed in SC, CO, GA, IN and NC
8+ Years of Experience
Contact Details
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Location
Columbia, SC
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Phone
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Website
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Facebook
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About Me
I have been helping those in the Midlands for years. It is a joy to help them understand the choices and options in order to make the best choices for their health care needs. I live in Irmo and my wife and I have 4 children and 8 grandchildren. I enjoy playing my guitar to relax.
Q&A with Mike Fields
How likely am I to qualify for Medigap at 73 after the six-month enrollment period? I have some medical history and a possible cancer workup, but no diagnosis, hospitalizations, or treatment.
Answer: It is always possible to get a quote with another Medigap plan to see if you can qualify and if so, what the cost would be. These quotes have no impact, and many times people pass the underwriting even with some medical history. In addition, we have found special programs the past two years where a specific company will offer anyone on another Medigap Guaranteed Acceptance. This has been very popular with some of my clients that have serious health issues, and their current plan has raised prices significantly, but they would not be eligible to underwriting.
What costs count toward the annual out-of-pocket maximum on a Medicare Advantage plan?
Answer: The annual out of pocket maximum on costs applies to just about anything that your Plan Carrier was responsible for. Hospital stays, Dr Visits, Tests, Procedures, etc. It does not apply to health items, procedures, Prescriptions or other items that you pay for yourself and wasn't paid through the carrier.
What is the donut hole, and does it still exist?
Answer: Fortunately, the donut hole no longer exists. It has been replaced with a Maximum amount that you will pay for all prescriptions each year. For 2026 that cap is set at $2100. That means that once your RX costs reach this amount, all RX will be at no cost to you for the remainder of the year.
How do I switch back to Original Medicare from a Medicare Advantage plan, and will I face any penalties or coverage gaps?
Answer: You can move back to Original Medicare, but you should then pick a Prescription Drug Plan and keep Part B, or you may face penalties. Your local agent can look at your current Prescription; let you know the costs and coverage and help you with the switch.