FAQ
When should I start thinking about Medicare if I’m approaching 65?
Generally, Michele recommends starting 6–3 months before you’ll need coverage. If you’re going to retire and go on Medicare at 65, begin learning and planning during that window so you understand enrollment periods, penalties, and your options. If you’re working past 65 and staying on employer coverage, start 6–3 months before your planned retirement date.
Do I have to sign up for Medicare at 65 if I’m still working?
Not always. It depends on:
- The size of your employer
- The quality and cost of your employer plan
- Whether you (and your spouse) will continue working
In many cases, you can delay some parts of Medicare without penalty if you have qualifying employer coverage, but the rules are nuanced. That’s why Michele’s firm encourages a Medicare 101 conversation well in advance.
What is IRMAA and why might my Part B premium be higher than my friends’?
IRMAA stands for Income-Related Monthly Adjustment Amount. Social Security looks at your tax return from two years ago to see if your income exceeds certain thresholds. If it does, they add a surcharge to your Part B (and sometimes Part D) premiums, which can push your total monthly cost into the $500–$600+ range.
Can I appeal IRMAA if my income has dropped?
Often, yes. If you’ve had a qualifying life-changing event, like retirement, reduced work hours, marriage, divorce, or a significant income reduction, you may be able to appeal IRMAA and have your premiums recalculated. Michele frequently helps clients understand whether they’re eligible to appeal and how to complete the process.
What’s the difference between Medicare Advantage and a Medicare Supplement?
In brief:
- Medicare Advantage (Part C) plans are offered by private insurers and typically wrap your Part A, Part B, and often Part D into one plan with networks and copays.
- Medicare Supplement (Medigap) policies work alongside Original Medicare (Parts A & B) to help cover deductibles and coinsurance; Part D is usually a separate drug plan.
The best option depends on your doctors, travel patterns, medications, budget, and risk tolerance. Michele’s firm walks clients through the pros and cons in their specific situation.
How does a Medicare broker like Michele get paid?
Typically, Medicare brokers are compensated by the insurance carriers when a client enrolls in a plan. Clients usually don’t pay brokerage fees directly, which means you can get professional help comparing plans without an additional out-of-pocket advisory charge. That said, it’s important to work with someone who is independent and focuses on fit, not just commissions.
Why should my HR or benefits team care about having a Medicare partner?
Employees turning 65 often bombard HR with questions about:
- Whether to stay on the group plan or go to Medicare
- How COBRA interacts with Medicare
- Timing, penalties, and plan options
Partnering with an independent broker like Michele gives HR a trusted expert to:
- Run Medicare 101 sessions for staff
- Provide individualized guidance
- Help employees avoid costly mistakes
That can reduce HR’s workload and improve the overall employee experience.