Phyllis Dixon, Medicare Insurance Agent

About Me

Let me help you with the Medicare maze, making insurance choices that work from multiple well known carriers. We can talk by phone or in person. I have clients in a wide area.

Get in touch with Phyllis using this form

Q&A with Phyllis Dixon

What do you like most about being a Medicare agent?

Answer: It is rewarding to assist people who are very worried and confused by all of the information they need to try to understand about Medicare. When they spend an hour with me they often say how much they are relieved and happy to be comfortable now that I have helped by reviewing their options for Medicare coverage and have helped them enroll, if individual Medicare plans are their best choice. In addition, since I am not a call center agent, they have me as their year round resource.

Are Medicare Advantage plans really "free," or is that just clever marketing?

Answer: Free is probably not the most accurate description. Each Medicare eligible person needs to have Medicare A and B (which has a cost for most people) to qualify for a Medicare Advantage plan. The plans often don't have an up front monthly premium, but somewhat like health insurance there is out of pocket expense for medical and prescription costs. That being the case, it's important to carefully review plans to be sure the out of pocket costs are acceptable in each person's situation.

Who qualifies for Medicare coverage if they are under 65?

Answer: The most accurate information is in this document, which mentions starting on page 3 who is eligible including those under 65 special requirements

https://www.ssa.gov/pubs/EN-05-10043.pdf

What benefits are there to working with a Medicare Agent near me vs remote/virtual?

Answer: Agents in the local/region have more knowledge about resources in the area that support the client's needs.

Meeting face to face in the agents office, in a local venue or in the client's home have a personal connection that builds trust.

What's the difference between a Medicare broker and a Medicare agent?

Answer: There are two answers to this question: to sum it up, not as much as one might think.

1. Most states don't have official separate licensing called a broker license. A few may.

Listing to the public as broker most of the time doesn't mean an official separate license title different from licensed agent. It's a way to attempt to signal they are contracted to sell products from more than one insurance company. Note: I taught insurance pre-licensing and continuing education for 12 years.

2. Any licensed insurance professional selling Medicare plans has to follow certain rules. If they are doing marketing for specific Medicare plans they (whether listing as agent or broker) are required to state how many insurance companies they offer and how many total policy options they have in the specific designated marketing area for all the companies represented.

Can Medicare drop me for health reasons?

Answer: When would health conditions affect a Medicare plan.

Mostly no, but several exceptions:

Original Medicare and Medicare Advantage plans don't drop people for medical conditions generally, although recovering from a medical condition and then from Social Security Disability qualification could be a health condition issue in reverse, for those under 65. They got well and were dropped from Medicare if under age 65.

Medicare supplements and disqualification:

1. for new applicants: if there is no special enrollment period like moving to another state, losing employer coverage, turning 65, new to Part B, etc. Then Medicare supplements generally require answering medical questions in order to qualify for their coverage. A higher rate or declining the application could occur.

2. If the premium is not paid on an existing Medicare Supplement during the specific plan's grace period, there would likely be medical questions to answer same as a new applicant in general, and they can be declined a reinstatement of the plan.

3. Medicare Advantage limited situations:

perhaps if someone was not truthful or misunderstood the rules with some special needs Medicare Advantage plans had enrolled and was found unqualified for one of those plans requring specific health conditions, they could be disenrolled. Very likely after the disenrollment notice to be able to enroll in a plan suited to their situation as a limited time special election period.

I worked for the federal government for 30 years and took early retirement. How does my federal retirement affect my Medicare options?

Answer: It is best to confirm options with the Federal Benefits representatives or the online benefits portal. Unless changed recently Part B is optional but a person could decide later to add Part B. However it would likely be with a penalty for not enrolling in Medicare Part B according to timing rules. Most retirees would opt for federal benefits and not turn them down when retiring.