Understanding Medicare requires navigating complex options, deadlines, and potential pitfalls that can impact healthcare coverage for decades. Insurance broker Margo Steinlage shares expert insights to help individuals approaching retirement make informed Medicare decisions that account for both current and future healthcare needs.

• Medicare enrollment decisions should begin 12-18 months before turning 65
• Medicare is required at 65 unless covered by an active large employer plan (20+ employees)
• Original Medicare covers approximately 80% of costs with no cap on the remaining 20%
• Two main pathways: Medicare with Supplement (maximum flexibility) or Medicare Advantage (network restrictions)
• Initial Medicare decisions have long-term implications due to medical underwriting requirements
• Supplements offer nationwide coverage but higher premiums than Advantage plans
• Advantage plans often have zero premiums but restrict provider networks and require pre-authorizations
• Moving from an Advantage plan to a Supplement becomes difficult after initial enrollment period
• Plan features and costs can change significantly year-to-year, especially with Advantage plans
• Working with an independent Medicare broker provides comprehensive support at no additional cost

Contact Margo at margo@steinlageinsurance.com for personalized Medicare guidance for your specific situation.