Post-Retirement Coverage
American Fidelity has helped customers make informed financial and insurance coverage decisions since 1960. Over the years, we've recognized the importance of providing continued support as our customers move from working to retirement. Let us help you bridge the benefits gap to help ensure you're covered for the next chapter.
Post-Retirement Health Coverage Solutions
Medicare Insurance
Original Medicare
Medicare Supplemental Plans
Medicare Advantage Plans
Medicare Part D Plans
Non-Medicare Insurance
Medical Insurance
Dental Insurance
Vision Insurance
Medicare Coverage
There are lots of options with Medicare. You can choose Original Medicare, which includes Parts A, B, and D, as well as Medigap. Or you can select Medicare Advantage (Part C) as an all-in-one solution. Here's a helpful breakdown to guide you through the ABCs of Medicare.
Part A:
Hospital Insurance
Helps cover inpatient stays, care in a skilled nursing facility, hospice care, and some home health care. This form of Medicare may be free for most people.
Part B:
Medical Insurance
Helps cover certain doctor services, outpatient care, medical supplies, and preventive services. This coverage requires a monthly premium, and you may be subject to an income-related monthly adjustment amount (IRMMA), which could increase your premium.
Part C:
Medicare Advantage
Offers a bundled approach and an alternative to Original Medicare. This coverage includes Parts A and B, and may offer additional services such as prescription drug, dental, and vision coverage. The premium is determined by your zip code, gender, age, and tobacco use, and it typically includes out-of-pocket costs when using the benefits.
Part D:
Prescription Drugs
Helps cover the cost of prescription drugs, making it easier to manage and reduce your out-of-pocket costs. This coverage requires a monthly premium, and you may be subject to an income-related monthly adjustment amount (IRMMA), which could increase your premium.
Medicare Supplement:
Medigap
Helps fill in the gaps of Original Medicare Parts A and B. The premium is based on factors such as your zip code, gender, age, and tobacco use.
Compare Plans
Let us help you compare and choose the Medicare plan that fits your needs. Don’t worry, we’re here to help you every step of the way. Just click the link below and we can continue the journey together.
When to Enroll in Medicare
Initial Enrollment
Period (IEP)
The IEP begins three months before your 65th birthday and ends three months later.
General Enrollment
Period (GEP)
The GEP runs from January 1 to March 31. This is your opportunity to enroll in Part A and Part B if you missed your Initial Enrollment Period.
Special Enrollment
Period (SEP)
The SEP allows you to enroll immediately after losing your employer's health plan coverage. SEP enrollment begins the month after you lose coverage and ends eight months later.
Open Enrollment
Period (OEP)
The OEP runs from October 15 to December 7. It's an opportunity for those with current Medicare coverage to make changes to their Medicare plans.
Medicare Advantage
Open Enrollment
The open enrollment period for Medicare Advantage runs from January 1 to March 31. It's an opportunity for those with Medicare Advantage coverage to make changes to their plan.
Non-Medicare Coverage
If you retire or leave employment before you're eligible for Medicare, you may need coverage until you are. Even when you are eligible, you'll find that most Medicare plans don't cover vision or dental expenses.
Medical Insurance
Health insurance is essential, but not everyone's needs are the same. Here, you can select from various plans for individuals or families, choosing the one that's perfect for you.
Vision Insurance
Eye care needs can vary. Choose from a wide selection of vision plans to meet your individual needs. Each plan includes coverage for eye exams, allowances for contacts and frames, and various premiums.
Dental Insurance
Get the coverage you need with a standalone dental insurance plan. Choose from a variety of options offering coverage for everything from routine cleanings and exams to crowns and implants.
Frequently Asked Questions
General Information
Medicare is a federal health insurance program for individuals aged 65 and older, and certain individuals with disabilities or specific medical conditions.
No. However, late enrollments can result in significant penalties. If you have employer-sponsored credible coverage, or coverage that meets or exceeds Medicare coverage, you can continue using it without incurring penalties when you apply for Medicare at a later time.
For most people, the initial enrollment period is the best time to enroll in Part A and Part B to avoid any penalties or gaps in coverage.
If you have not applied for Social Security retirement benefits:
You can apply for Medicare through the Social Security Administration (SSA) website by completing this online application.
If you have applied for Social Security retirement benefits:
When you apply for your Social Security benefits and are age 65 or older, the SSA will automatically enroll you in Medicare Parts A and B. If you are not receiving your Social Security benefit, you will need to enroll in Medicare by accessing your online Social Security account or by contacting the SSA.
Enrollment
You can enroll in Medicare through the Social Security Administration website, by phone at
800-772-1213, or by visiting your local Social Security office.
The OEP runs from October 15 to December 7. It's an opportunity for those with current Medicare coverage to make changes to their Medicare plans. Coverage changes made during this time take effect on January 1.
The IEP begins three months before an individual turns 65 and ends three months after their birthday.
The SEP allows you to enroll immediately after losing your employer's health plan coverage. SEP enrollment begins the month after you lose coverage and ends eight months later.
Different Coverages
|
|
Original Medicare |
Medicare Advantage |
|
Plan Management |
Benefits are administered by the federal government |
Benefits are administered by a private insurance company |
|
Plan Parts |
Part A and Part B, along with Medigap for additional coverage
Also requires you to purchase Part D |
Parts A, B, and C, and usually Part D |
|
Network Coverage |
Can use any provider in the U.S. who accepts Medicare |
Must use in-network providers |
|
Prescription Drug Coverage |
Must purchase Part D |
Available on some plans |
|
Dental Coverage |
Not available |
Available on some plans |
|
Vision Coverage |
Not available |
Available on some plans |
|
Hearing Coverage |
Not available |
Available on some plans |
|
Gym Membership Discounts |
Not available |
Available on some plans |
Medicare Costs and Premiums
Medicare Part A is generally free for most people who have paid Medicare taxes while working for a certain amount of time and are paying FICA and/or SECA taxes. However, those who haven’t paid enough Medicare taxes may have to pay a premium for coverage.
The cost of Medicare Part B varies based on your adjusted gross income. The Centers for Medicare & Medicaid Services (CMS) annually adjusts the standard premium amount.
Part A and Part B: There is no out-of-pocket maximum for Medicare Parts A and B (traditional Medicare).
Part C: The out-of-pocket maximum varies per plan.
Part D: The out-of-pocket maximum varies per plan.
Yes. Depending on your income, Medicaid, Medicare Savings Programs, and Extra Help (Low-Income Subsidy) can assist with Medicare costs.
Non-Medicare Coverage
Non-Medicare insurance refers to any health or supplemental insurance plan that is not part of the Medicare program. This includes private health insurance, employer-sponsored insurance, dental insurance, vision insurance, life insurance, disability insurance, pet insurance, and more.
If you have both Medicare and non-Medicare insurance, the plans may coordinate benefits. Generally, Medicare will be your secondary insurance, and the non-Medicare plan will act as primary coverage, helping to pay for costs not covered by Medicare.
Dental Insurance: Covers preventive care, basic services like fillings, and major dental procedures such as crowns and root canals.
Vision Insurance: Provides coverage for routine eye exams, glasses, contact lenses, and occasional discounts on corrective surgeries like LASIK.
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