Peter Herlevi, Medicare Insurance Agent
Peter Herlevi
MedPlanMyWay LLC
Medicare Agent Licensed in MN, MI and WI
18+ Years of Experience
Contact Details
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Serving
Duluth, MN
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Phone
Peter Can Help With:
About Me
Hi there! I'm Peter, an independent Medicare insurance agent dedicated to serving Wisconsin, Minnesota, and the Upper Peninsula of Michigan since 2007.
Medicare is my area of expertise, and rather than "selling you", I'm committed to teaching you and learning about your needs and preferences, from both a medical and a financial perspective.
From there, I will guide you in making an informed decision about the type of coverage that makes sense for you and the company through which to get your coverage.
My assistance comes at absolutely no cost to you.
Reach out to me today to discuss your Medicare insurance possibilities, and remember to mention you found me through Medicare Agents Hub!
Directions to My Office
Q&A with Peter Herlevi
I just enrolled in Medicare, and I've got my Part A and B, but I'm hearing there are gaps in coverage. What are these gaps exactly?
Answer: There are a number of gaps in original Medicare (Parts A and B). These gaps are the exact reason to consider private insurance in addition to or in lieu of original Medicare - to manage one's exposure to these gaps.
These gaps include deductibles (specific $ amounts the insured pays before Medicare pays), copays (specific $ amounts the insured pays for specific services, usually after a deductible is met and certain coverage limits have been exceeded) and coinsurance (a % of the Medicare allowable charge for specific services that the insured is responsible for, again usually after a deductible is met). There are a few other uncommon gaps, in the form of coverage limits and excess allowable charges.
This topic can get a bit involved, as these gaps are different and specific for Part A vs Part B, and the $ amounts of deductibles and copays typically change each calendar year.
In general - this is not intended to be exhaustive - these are the gaps in original Medicare:
Part A has a deductible that potentially can be incurred more than once per calendar year. This deductible is not exactly incurred per inpatient hospital admission, but it can be thought of in roughly those terms. For long inpatient hospital stays or rehabilitation stays in a skilled nursing facility or nursing home, Part A has daily copays after these respective types of stays have reached a certain length. Part A also has maximum lengths for these respective types of stays (these maximums are quite long and it is rare, but not unheard of, for one to have a stay that exceeds these maximums).
Part B is somewhat simpler, in that it has an annual deductible and once that annual deductible is met, the insured is generally responsible for a coinsurance % of the Medicare allowable charge for a given service. Unlike the Part A and Part B deductibles and copays, which historically have changed virtually every calendar year, the Part B coinsurance % has remained at 20%.
What do you like most about being a Medicare agent?
Answer: It is really rewarding to help people get comfortable with a confusing topic like Medicare (believe me, virtually everyone I meet that is new to Medicare is confused, at least to some degree), especially since health coverage becomes even more important to us as we get older.
The people I work with are able to understand their options, including potential pros and cons of each, and make a choice that they feel good about - it's great to be a part of that.
I also enjoy getting to know people and their stories - each of us has a life story, and not only might that life story inform a person's choice when it comes to Medicare coverage options, but that life story is really interesting to me and adds an enjoyable layer to my relationships with my people (I have a hard time calling them clients : ) )