{"id":3643,"date":"2025-03-17T21:04:42","date_gmt":"2025-03-17T21:04:42","guid":{"rendered":"https:\/\/medicareformyparents.com\/?page_id=3643"},"modified":"2025-03-17T21:06:55","modified_gmt":"2025-03-17T21:06:55","slug":"what-to-do","status":"publish","type":"page","link":"https:\/\/medicareformyparents.com\/?page_id=3643","title":{"rendered":"What to Do!"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3643\" class=\"elementor elementor-3643\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f18f53c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f18f53c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d4e309a\" data-id=\"d4e309a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c87ede1 elementor-widget elementor-widget-text-editor\" data-id=\"c87ede1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1 data-start=\"181\" data-end=\"256\"><strong data-start=\"183\" data-end=\"254\">Helping Your Parents with Their Medicare Plan: A Step-by-Step Guide<\/strong><\/h1><p data-start=\"258\" data-end=\"572\">Navigating Medicare can be overwhelming, especially when helping your parents make the transition. Whether they are aging into Medicare at 65 or coming off an employer plan, it&#8217;s crucial to ensure they make informed decisions to avoid penalties and gaps in coverage. Here\u2019s how to guide them through the process.<\/p><hr data-start=\"574\" data-end=\"577\" \/><h2 data-start=\"579\" data-end=\"654\"><strong data-start=\"582\" data-end=\"652\">Step 1: Determine Their Medicare Eligibility and Enrollment Period<\/strong><\/h2><p data-start=\"655\" data-end=\"803\">Most people become eligible for Medicare at <strong data-start=\"699\" data-end=\"709\">age 65<\/strong>. However, the enrollment process depends on their work history and current health coverage:<\/p><ul data-start=\"805\" data-end=\"1168\"><li data-start=\"805\" data-end=\"1027\">If your parent <strong data-start=\"822\" data-end=\"863\">is receiving Social Security benefits<\/strong>, they will be automatically enrolled in <strong data-start=\"904\" data-end=\"975\">Medicare Part A (hospital insurance) and Part B (medical insurance)<\/strong> starting the first day of the month they turn 65.<\/li><li data-start=\"1028\" data-end=\"1168\">If they <strong data-start=\"1038\" data-end=\"1079\">are not yet receiving Social Security<\/strong>, they must <strong data-start=\"1091\" data-end=\"1110\">actively enroll<\/strong> in Medicare through the Social Security Administration.<\/li><\/ul><p data-start=\"1170\" data-end=\"1195\">\u2705 <strong data-start=\"1172\" data-end=\"1193\">To enroll, visit:<\/strong><\/p><ul data-start=\"1196\" data-end=\"1332\"><li data-start=\"1196\" data-end=\"1259\"><a target=\"_new\" rel=\"noopener\" data-start=\"1198\" data-end=\"1257\"><strong data-start=\"1199\" data-end=\"1226\">Social Security Website<\/strong><\/a><\/li><li data-start=\"1260\" data-end=\"1287\">Call <strong data-start=\"1267\" data-end=\"1285\">1-800-772-1213<\/strong><\/li><li data-start=\"1288\" data-end=\"1332\">Visit a local <strong data-start=\"1304\" data-end=\"1330\">Social Security office<\/strong><\/li><\/ul><hr data-start=\"1334\" data-end=\"1337\" \/><h2 data-start=\"1339\" data-end=\"1393\"><strong data-start=\"1342\" data-end=\"1391\">Step 2: Find Out If They Need Medicare Part B<\/strong><\/h2><p data-start=\"1394\" data-end=\"1547\">If your parent is still <strong data-start=\"1418\" data-end=\"1477\">working and covered under an employer group health plan<\/strong>, they may be able to delay enrolling in <strong data-start=\"1518\" data-end=\"1528\">Part B<\/strong> without penalty.<\/p><p data-start=\"1549\" data-end=\"1787\">\ud83d\udd39 <strong data-start=\"1552\" data-end=\"1590\">Key Questions to Ask the Employer:<\/strong><br data-start=\"1590\" data-end=\"1593\" \/>\u2714\ufe0f When does their group health coverage end?<br data-start=\"1638\" data-end=\"1641\" \/>\u2714\ufe0f Is their employer plan considered <strong data-start=\"1678\" data-end=\"1701\">creditable coverage<\/strong> by Medicare?<br data-start=\"1714\" data-end=\"1717\" \/>\u2714\ufe0f Should they sign up for <strong data-start=\"1744\" data-end=\"1758\">Part B now<\/strong> or wait until they retire?<\/p><p data-start=\"1789\" data-end=\"2027\">\u26a0\ufe0f <strong data-start=\"1792\" data-end=\"1814\">Potential Pitfall:<\/strong> If their employer has fewer than <strong data-start=\"1848\" data-end=\"1864\">20 employees<\/strong>, they MUST enroll in <strong data-start=\"1886\" data-end=\"1905\">Medicare Part B<\/strong> when they turn 65. Otherwise, Medicare becomes their primary insurance, and their employer plan may not pay for claims.<\/p><hr data-start=\"2029\" data-end=\"2032\" \/><h2 data-start=\"2034\" data-end=\"2104\"><strong data-start=\"2037\" data-end=\"2102\">Step 3: Sign Up for Medicare Part B (If They Haven\u2019t Already)<\/strong><\/h2><p data-start=\"2105\" data-end=\"2220\">If your parent is coming off an employer plan, they\u2019ll need to enroll in <strong data-start=\"2178\" data-end=\"2188\">Part B<\/strong> to avoid a lapse in coverage.<\/p><p data-start=\"2222\" data-end=\"2250\">\u2705 <strong data-start=\"2224\" data-end=\"2248\">To apply for Part B:<\/strong><\/p><ul data-start=\"2251\" data-end=\"2524\"><li data-start=\"2251\" data-end=\"2328\">Complete <strong data-start=\"2262\" data-end=\"2278\">Form CMS-40B<\/strong> (Application for Enrollment in Medicare Part B)<\/li><li data-start=\"2329\" data-end=\"2454\">If they\u2019re leaving employer coverage, their employer must complete <strong data-start=\"2398\" data-end=\"2415\">Form CMS-L564<\/strong> (Request for Employment Information)<\/li><li data-start=\"2455\" data-end=\"2524\">Submit forms to Social Security <strong data-start=\"2489\" data-end=\"2522\">online, by mail, or in person<\/strong><\/li><\/ul><hr data-start=\"2526\" data-end=\"2529\" \/><h2 data-start=\"2531\" data-end=\"2590\"><strong data-start=\"2534\" data-end=\"2588\">Step 4: Understand Their Medicare Coverage Options<\/strong><\/h2><p data-start=\"2591\" data-end=\"2689\">Once enrolled in <strong data-start=\"2608\" data-end=\"2643\">Original Medicare (Parts A &amp; B)<\/strong>, your parent has two main coverage options:<\/p><h3 data-start=\"2691\" data-end=\"2745\">\u2705 <strong data-start=\"2697\" data-end=\"2743\">Option 1: Medicare + Supplemental Coverage<\/strong><\/h3><ul data-start=\"2746\" data-end=\"2904\"><li data-start=\"2746\" data-end=\"2845\"><strong data-start=\"2748\" data-end=\"2786\">Medicare Supplement Plan (Medigap)<\/strong> \u2013 Covers out-of-pocket costs like deductibles and copays<\/li><li data-start=\"2846\" data-end=\"2904\"><strong data-start=\"2848\" data-end=\"2881\">Part D Prescription Drug Plan<\/strong> \u2013 Covers medications<\/li><\/ul><p data-start=\"2906\" data-end=\"3001\"><strong data-start=\"2906\" data-end=\"2919\">Best for:<\/strong> Those who want predictable costs and access to any doctor that accepts Medicare<\/p><h3 data-start=\"3003\" data-end=\"3052\">\u2705 <strong data-start=\"3009\" data-end=\"3050\">Option 2: Medicare Advantage (Part C)<\/strong><\/h3><ul data-start=\"3053\" data-end=\"3247\"><li data-start=\"3053\" data-end=\"3112\">Combines <strong data-start=\"3064\" data-end=\"3096\">Parts A, B, and often Part D<\/strong> into one plan<\/li><li data-start=\"3113\" data-end=\"3194\">Includes extra benefits like <strong data-start=\"3144\" data-end=\"3192\">dental, vision, hearing, and gym memberships<\/strong><\/li><li data-start=\"3195\" data-end=\"3247\">Uses <strong data-start=\"3202\" data-end=\"3245\">a network of doctors (HMO or PPO plans)<\/strong><\/li><\/ul><p data-start=\"3249\" data-end=\"3329\"><strong data-start=\"3249\" data-end=\"3262\">Best for:<\/strong> Those who prefer a lower monthly premium and all-in-one coverage<\/p><hr data-start=\"3331\" data-end=\"3334\" \/><h2 data-start=\"3336\" data-end=\"3411\"><strong data-start=\"3339\" data-end=\"3409\">Step 5: Enroll in a Medicare Supplement or Medicare Advantage Plan<\/strong><\/h2><p data-start=\"3412\" data-end=\"3535\">Once they have <strong data-start=\"3427\" data-end=\"3448\">Part A and Part B<\/strong>, they can enroll in either a <strong data-start=\"3478\" data-end=\"3501\">Medicare Supplement<\/strong> or <strong data-start=\"3505\" data-end=\"3527\">Medicare Advantage<\/strong> plan.<\/p><p data-start=\"3537\" data-end=\"4021\">\ud83d\udd39 <strong data-start=\"3540\" data-end=\"3573\">Important Enrollment Periods:<\/strong><br data-start=\"3573\" data-end=\"3576\" \/>\u2714\ufe0f <strong data-start=\"3579\" data-end=\"3615\">Initial Enrollment Period (IEP):<\/strong> 7-month window around their <strong data-start=\"3644\" data-end=\"3661\">65th birthday<\/strong> (3 months before, the month of, and 3 months after)<br data-start=\"3713\" data-end=\"3716\" \/>\u2714\ufe0f <strong data-start=\"3719\" data-end=\"3767\">Medicare Advantage &amp; Part D Open Enrollment:<\/strong> <strong data-start=\"3768\" data-end=\"3795\">October 15 \u2013 December 7<\/strong> each year<br data-start=\"3805\" data-end=\"3808\" \/>\u2714\ufe0f <strong data-start=\"3811\" data-end=\"3850\">Medicare Advantage Open Enrollment:<\/strong> <strong data-start=\"3851\" data-end=\"3875\">January 1 \u2013 March 31<\/strong> (for switching Advantage plans)<br data-start=\"3907\" data-end=\"3910\" \/>\u2714\ufe0f <strong data-start=\"3913\" data-end=\"3941\">Medigap Open Enrollment:<\/strong> Within <strong data-start=\"3949\" data-end=\"3961\">6 months<\/strong> of enrolling in <strong data-start=\"3978\" data-end=\"3988\">Part B<\/strong> (guaranteed acceptance period)<\/p><p data-start=\"4023\" data-end=\"4194\">\u26a0\ufe0f <strong data-start=\"4026\" data-end=\"4048\">Potential Pitfall:<\/strong> If they miss their enrollment window for <strong data-start=\"4090\" data-end=\"4101\">Medigap<\/strong>, they could be <strong data-start=\"4117\" data-end=\"4160\">denied coverage or charged higher rates<\/strong> due to pre-existing conditions.<\/p><hr data-start=\"4196\" data-end=\"4199\" \/><h2 data-start=\"4201\" data-end=\"4257\"><strong data-start=\"4204\" data-end=\"4255\">Step 6: Make Sure Their Medications Are Covered<\/strong><\/h2><p data-start=\"4258\" data-end=\"4513\">If choosing a <strong data-start=\"4272\" data-end=\"4348\">Part D prescription plan or a Medicare Advantage plan with drug coverage<\/strong>, check:<br data-start=\"4356\" data-end=\"4359\" \/>\u2714\ufe0f That their medications are on the plan\u2019s <strong data-start=\"4403\" data-end=\"4416\">formulary<\/strong><br data-start=\"4416\" data-end=\"4419\" \/>\u2714\ufe0f That their <strong data-start=\"4433\" data-end=\"4459\">pharmacy is in-network<\/strong><br data-start=\"4459\" data-end=\"4462\" \/>\u2714\ufe0f The cost of their prescriptions under the plan<\/p><p data-start=\"4515\" data-end=\"4667\">\u26a0\ufe0f <strong data-start=\"4518\" data-end=\"4540\">Potential Pitfall:<\/strong> Not enrolling in Part D when eligible can lead to a <strong data-start=\"4593\" data-end=\"4620\">late enrollment penalty<\/strong> added to their monthly premium <strong data-start=\"4652\" data-end=\"4664\">for life<\/strong>.<\/p><hr data-start=\"4669\" data-end=\"4672\" \/><h2 data-start=\"4674\" data-end=\"4731\"><strong data-start=\"4677\" data-end=\"4729\">Step 7: Be Aware of Important Medicare Deadlines<\/strong><\/h2><p data-start=\"4732\" data-end=\"4774\">Here are key Medicare dates to remember:<\/p><div class=\"overflow-x-auto contain-inline-size\"><table data-start=\"4776\" data-end=\"5435\"><thead data-start=\"4776\" data-end=\"4844\"><tr data-start=\"4776\" data-end=\"4844\"><th data-start=\"4776\" data-end=\"4809\"><strong data-start=\"4778\" data-end=\"4808\">Medicare Enrollment Period<\/strong><\/th><th data-start=\"4809\" data-end=\"4821\"><strong data-start=\"4811\" data-end=\"4820\">Dates<\/strong><\/th><th data-start=\"4821\" data-end=\"4844\"><strong data-start=\"4823\" data-end=\"4842\">What You Can Do<\/strong><\/th><\/tr><\/thead><tbody data-start=\"4919\" data-end=\"5435\"><tr data-start=\"4919\" data-end=\"5057\"><td><strong data-start=\"4921\" data-end=\"4956\">Initial Enrollment Period (IEP)<\/strong><\/td><td>3 months before, the month of, and 3 months after turning 65<\/td><td>Sign up for <strong data-start=\"5034\" data-end=\"5055\">Parts A, B, and D<\/strong><\/td><\/tr><tr data-start=\"5058\" data-end=\"5193\"><td><strong data-start=\"5060\" data-end=\"5095\">Special Enrollment Period (SEP)<\/strong><\/td><td>Within 8 months of losing employer coverage<\/td><td>Sign up for <strong data-start=\"5156\" data-end=\"5191\">Part B &amp; Part D without penalty<\/strong><\/td><\/tr><tr data-start=\"5194\" data-end=\"5300\"><td><strong data-start=\"5196\" data-end=\"5224\">Medicare Open Enrollment<\/strong><\/td><td>October 15 \u2013 December 7<\/td><td>Change <strong data-start=\"5260\" data-end=\"5298\">Medicare Advantage or Part D plans<\/strong><\/td><\/tr><tr data-start=\"5301\" data-end=\"5435\"><td><strong data-start=\"5303\" data-end=\"5341\">Medicare Advantage Open Enrollment<\/strong><\/td><td>January 1 \u2013 March 31<\/td><td>Switch <strong data-start=\"5374\" data-end=\"5433\">Medicare Advantage plans or return to Original Medicare<\/strong><\/td><\/tr><\/tbody><\/table><\/div><hr data-start=\"5437\" data-end=\"5440\" \/><h2 data-start=\"5442\" data-end=\"5489\"><strong data-start=\"5445\" data-end=\"5487\">Step 8: Avoid Common Medicare Mistakes<\/strong><\/h2><p data-start=\"5490\" data-end=\"5887\">\ud83d\udd38 <strong data-start=\"5493\" data-end=\"5524\">Missing the Part B deadline<\/strong> \u2192 <strong data-start=\"5527\" data-end=\"5539\">Penalty:<\/strong> 10% increase in premiums <strong data-start=\"5565\" data-end=\"5577\">for life<\/strong><br data-start=\"5577\" data-end=\"5580\" \/>\ud83d\udd38 <strong data-start=\"5583\" data-end=\"5611\">Delaying Part D coverage<\/strong> \u2192 <strong data-start=\"5614\" data-end=\"5626\">Penalty:<\/strong> 1% of the national average Part D premium <strong data-start=\"5669\" data-end=\"5695\">for each month delayed<\/strong><br data-start=\"5695\" data-end=\"5698\" \/>\ud83d\udd38 <strong data-start=\"5701\" data-end=\"5733\">Not comparing plans annually<\/strong> \u2192 Plans change every year, and costs could go up<br data-start=\"5782\" data-end=\"5785\" \/>\ud83d\udd38 <strong data-start=\"5788\" data-end=\"5815\">Choosing the wrong plan<\/strong> \u2192 Ensure it covers <strong data-start=\"5835\" data-end=\"5885\">doctors, prescriptions, and services they need<\/strong><\/p><hr data-start=\"5889\" data-end=\"5892\" \/><h2 data-start=\"5894\" data-end=\"5950\"><strong data-start=\"5897\" data-end=\"5948\">Step 9: Get Help from Medicare-Planning Experts<\/strong><\/h2><p data-start=\"5951\" data-end=\"6197\">Helping your parents with Medicare is a big responsibility, but <strong data-start=\"6015\" data-end=\"6048\">you don\u2019t have to do it alone<\/strong>. Our team at <strong data-start=\"6062\" data-end=\"6090\">MedicareForMyParents.com<\/strong> can guide you through the process <strong data-start=\"6125\" data-end=\"6137\">for free<\/strong>, ensuring your parents get the best plan for their needs.<\/p><p data-start=\"6199\" data-end=\"6353\">\ud83d\udcde <strong data-start=\"6202\" data-end=\"6234\">Need Help? Contact Us Today!<\/strong><br data-start=\"6234\" data-end=\"6237\" \/>Email: <strong data-start=\"6244\" data-end=\"6277\"><a rel=\"noopener\" data-start=\"6246\" data-end=\"6275\">info@medicareformyparents.com<\/a><\/strong><br data-start=\"6277\" data-end=\"6280\" \/>Visit: <strong data-start=\"6287\" data-end=\"6351\"><a href=\"www.medicareformyparents.com\" rel=\"noopener\" data-start=\"6289\" data-end=\"6349\">www.medicareformyparents.com<\/a><\/strong><\/p><p data-start=\"6355\" data-end=\"6485\" data-is-last-node=\"\" data-is-only-node=\"\">We\u2019re here to make the process <strong data-start=\"6386\" data-end=\"6410\">easy and stress-free<\/strong>\u2014because taking care of your parents\u2019 Medicare shouldn\u2019t be complicated. \ud83d\ude80<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Helping Your Parents with Their Medicare Plan: A Step-by-Step Guide [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-3643","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What to Do! 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