Debbie is a licensed insurance agent who previously worked for 5 years at Soundpath Health. Debbie has a degree in business and human resource management. She enjoys helping her clients find a plan that they are comfortable with, and she will ensure that they understand their benefits. It is very important to her that all of her clients are enrolled in the best plan to fit their individual needs. She moved from Hawaii in 1985 and is a proud mother and grandmother. In her spare time, she enjoys walking, camping and spending time at the ocean.
Generally, Medicare covers only about 80% of your Part B (medical expenses). By selecting either a Medicare Advantage Plan with a Prescription Drug Plan (MAPD), Medicare Supplement and/or stand-alone Prescription Drug Plan, this can help you pay for the costs not covered by Medicare.
I am more than happy to set up a one-on-one appointment with you. I can meet you at your home, or other convenient location. This will give us both the opportunity to find a plan that is best suited to meet your individual needs.
" A Medicare Advantage Plan is another way to get your Medicare coverage. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare. If you join a Medicare Advantage Plan, you’ll still have Medicare but you’ll get most of your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan, not Original Medicare. Most plans include Medicare prescription drug coverage (Part D). In most cases, you’ll need to use health care providers who participate in the plan’s network. However, many plans offer out-of-network coverage, but sometimes at a higher cost. Remember, you must use the card from your Medicare Advantage Plan to get your Medicare-covered services. Keep your red, white, and blue Medicare card in a safe place because you’ll need it if you ever switch back to Original Medicare." (2020 Medicare & You, pg 55)
"Original Medicare pays for much, but not all, of the cost for covered health care services and supplies. Medicare Supplement Insurance policies, sold by private companies, can help pay some of the remaining health care costs for covered services and supplies, like co-payments, coinsurance, and deductibles.
Medicare Supplement Insurance policies are also called Medigap policies. Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. Generally, Medigap policies don’t cover long-term care (like care in a nursing home), vision or dental care, hearing aids, eyeglasses, or private-duty nursing.
Medigap policies are standardized Every Medigap policy must follow federal and state laws designed to protect you, and they must be clearly identified as “Medicare Supplement Insurance.” Insurance companies can sell you only a “standardized” policy identified in most states by letters A through D, F, G, and K through N. All policies offer the same basic benefits, but some offer additional benefits so you can choose which one meets your needs." (2020 Medicare & You, pg 69)
" Medicare prescription drug coverage is an optional benefit. Medicare drug coverage is offered to everyone with Medicare.
Even if you don’t use prescription drugs now, you should consider joining a Medicare drug plan. If you decide not to join a Medicare drug plan when you’re first eligible, and you don’t have other creditable prescription drug coverage or get Extra Help, you’ll likely pay a late enrollment penalty if you join a plan later. Generally, you’ll pay this penalty for as long as you have Medicare prescription drug coverage.
To get Medicare prescription drug coverage, you must join a plan approved by Medicare that offers Medicare drug coverage. Each plan can vary in cost and specific drugs covered. Visit Medicare.gov/plan-compare for more information about plans in your area." (2020 Medicare & You, pg 73)
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PO Box 732, Milton, WA 98354-0732, US
Please call: 1 (800) 696-1085 (toll free) or (253) 442-3381
Monday - Sunday: 9am - 9pm
Neither Smart Senior Insurance Benefits or Debbie Pulis are connected with the Federal Medicare Program. This is a website for insurance.
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