Don’t Let Medicare Gaps
Drain Your Savings
Did you know Original Medicare only pays 80% of your medical costs? I’ll help you protect your retirement savings from the other 20%
What You Need to Know:
✅ No out-of-pocket limit with Original Medicare
✅ Hospital stays can cost you $1,600+ in deductibles
✅ I’ll help you find coverage that fits your budget
Licensed Medicare Expert
No Cost to You
Available 7 Days a Week
David Llombart
Licensed Medicare Agent
FL License #G216547
Get Your Free Medicare Savings Analysis
Understanding Your Medicare Costs
Don’t let Medicare coverage gaps drain your retirement savings. Learn how proper coverage can protect your financial future.
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Traditional Medicare Costs
Original Medicare only covers 80% of approved medical costs, leaving you responsible for the remaining 20% with NO annual out-of-pocket limit. Plus, you pay hospital deductibles and co-pays.
The average senior spends $6,500+ annually on out-of-pocket healthcare costs
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Financial Risk
Without proper coverage, unexpected medical events can quickly drain your retirement savings. A 3-day hospital stay alone can cost you $1,600+ in deductibles.
63% of bankruptcies are tied to medical bills, even among
Medicare beneficiaries
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Protection Options
There are ways to protect your retirement savings from high medical costs. Medicare Advantage or Medicare Supplement plans can help cover these gaps.
The right coverage can limit your annual out-of-pocket costs to as little as $O-$3,000
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Expert Guidance at No Cost
As your dedicated Medicare specialist, I’ll help you understand your options and find the right coverage to protect your retirement savings – at absolutely no cost to you.
Get personalized Medicare guidance without any consultation fees
Don't Navigate Medicare Alone
As your Licensed Medicare Agent, I’ll help you understand your options and find coverage that protects both your health and your savings. My guidance is always free, and I’m here to help you make informed decisions about your Medicare coverage.
Medicare Plan Options
Understanding the different Medicare plans is essential to finding the right coverage for your healthcare needs and budget.
🏛️ Original Medicare
Government-provided coverage directly from Medicare, consisting of Part A (Hospital Insurance) and Part B (Medical Insurance).
Key Features
✓ Freedom to use any doctor that accepts Medicare
✓ No referrals needed for specialists
✓ Coverage throughout the United States
✓ Can be paired with a standalone Part D plan
✓ Can be supplemented with Medigap policies
Important Considerations
⚠️ No out-of-pocket maximum limit
⚠️ No prescription drug coverage (unless Part D added)
⚠️ No coverage for routine dental, vision, or hearing
⚠️ You pay 20% of costs for most services after deductible
🔄 Medicare Advantage
Medicare-approved plans from private insurance companies that bundle Part A, Part B, and usually Part D coverage.
Key Features
✓ All-in-one coverage (Parts A, B, and usually D)
✓ Often includes extra benefits like dental, vision, hearing
✓ Many plans include fitness benefits
✓ Annual out-of-pocket maximum limits
✓ Often include care coordination services
Important Considerations
⚠️ Network restrictions (HMO or PPO networks)
⚠️ May require referrals for specialists
⚠️ Service area limitations
⚠️ Prior authorization may be required for services
⚠️ Benefits and costs can change annually
➕ Medicare Supplement
Also called Medigap, these policies help pay some of the healthcare costs that Original Medicare doesn’t cover.
Key Features
✓ Helps cover deductibles, coinsurance, and copayments
✓ Works alongside Original Medicare
✓ Standardized plans identified by letters (A-N)
✓ No network restrictions – use any Medicare provider
✓ Guaranteed renewable as long as premiums are paid
Important Considerations
⚠️ Monthly premium in addition to Part B premium
⚠️ Doesn’t include prescription drug coverage
⚠️ Cannot be used with Medicare Advantage
⚠️ Best time to buy is during Medigap Open Enrollment
⚠️ May require medical underwriting if purchased later
💊 Prescription Drug Plans
Medicare Part D plans providing coverage for prescription medications through private insurance companies approved by Medicare.
Key Features
✓ Helps cover cost of prescription medications
✓ Can be standalone or part of Medicare Advantage
✓ All plans must meet Medicare’s minimum coverage standards
✓ Each plan has its own list of covered drugs (formulary)
✓ Available to anyone with Medicare Part A or Part B
Important Considerations
⚠️ Monthly premium in addition to Part B premium
⚠️ Plans vary in cost, coverage, and pharmacy networks
⚠️ Coverage gap (‘donut hole’) may affect costs
⚠️ Late enrollment penalty if not enrolled when eligible
⚠️ Formularies can change annually
Not Sure Which Plan Is Right For You?
With so many Medicare options, choosing the right coverage can be overwhelming. Our Medicare Agents will analyze your healthcare needs, medication requirements, and budget to recommend the best plan for you.
Medicare Enrollment Periods
Knowing when you can enroll in Medicare is crucial to avoid penalties and ensure you have the coverage you need when you need it.
📅Initial Enrollment Period
Your first chance to sign up for Medicare. This 7-month period begins 3 months before the month you turn 65, includes your birth month, and extends 3 months after.
⚠️ Missing this period could result in late enrollment penalties that last as long as you have Medicare.
🗓️ General Enrollment Period
If you missed your Initial Enrollment Period, you can sign up during the General Enrollment Period from January 1 to March 31 each year. Coverage starts July 1.
⚠️ Late enrollment penalties may apply, and you might have a gap in coverage.
🔄 Annual Enrollment Period
From October 15 to December 7 each year, you can join, switch, or drop a Medicare Advantage Plan or Medicare Part D plan. Coverage starts January 1.
⚠️ This is your annual opportunity to review and change your Medicare Advantage or Part D coverage for the coming year.
🔀 Medicare Advantage Open Enrollment
From January 1 to March 31 each year, if you’re in a Medicare Advantage Plan, you can switch to a different Medicare Advantage Plan or return to Original Medicare.
⚠️ You can only make one change during this period, and you cannot switch from Original Medicare to a Medicare Advantage Plan.
⚠️ Special Enrollment Periods
You may qualify for a Special Enrollment Period to join, switch, or drop Medicare plans when certain life events occur, such as moving or losing other insurance coverage.
⚠️Special Enrollment Periods have specific time frames and rules depending on your situation.
New to Medicare?
Understanding Medicare enrollment periods is critical to getting the right coverage at the right time. Missing your enrollment window can result in penalties and gaps in coverage.
✓ Mark your calendar for your Initial Enrollment Period
✓ Understand your plan options before you enroll
✓ Have your Medicare card ready when enrolling in additional coverage
Already Have Medicare?
Your Medicare coverage isn’t set in stone. Each year, you have opportunities to review and change your coverage during specific enrollment periods.
✓ Review your current coverage annually
✓ Compare plans during the Annual Enrollment Period
✓ Watch for Medicare plan change notifications in the mail
Frequently Asked Medicare Questions
Get answers to common Medicare questions to help you better understand your coverage options and make informed decisions.
When should I sign up for Medicare?
Most people should sign up for Medicare during their Initial Enrollment Period (IEP), which is the 7-month period that begins 3 months before the month you turn 65, includes your birth month, and extends 3 months after. If you’re still working and have employer coverage, you may qualify for a Special Enrollment Period later.
What's the difference between Medicare Advantage and Medicare Supplement?
Medicare Advantage (Part C) replaces Original Medicare (Parts A & B) and often includes prescription drug coverage and extra benefits like dental and vision. Medicare Supplement (Medigap) works alongside Original Medicare to help cover out-of-pocket costs like deductibles and coinsurance. You cannot have both Medicare Advantage and Medicare Supplement at the same time.
Do I need to sign up for Medicare if I'm still working and have employer coverage?
It depends on your situation. If you work for a company with fewer than 20 employees, Medicare is typically primary, so you should enroll when first eligible. If you work for a larger employer, you may be able to delay Medicare enrollment without penalty. Either way, it’s generally recommended to at least enroll in premium-free Medicare Part A when you’re first eligible.
What does Medicare Part D cover?
Medicare Part D provides prescription drug coverage. Each Part D plan has its own formulary (list of covered drugs) categorized into tiers that determine your cost-sharing amount. Plans typically cover most commonly prescribed medications, but coverage and costs vary between plans. It’s important to check if your specific medications are covered when comparing Part D plans.
How much does Medicare cost?
Medicare costs vary by part. Most people get Part A premium-free if they’ve worked and paid Medicare taxes for at least 10 years. Part B has a standard monthly premium ($170.10 in 2023 for most people), which may be higher based on income. Part D and Medicare Advantage premiums vary by plan. There are also deductibles, copayments, and coinsurance for services used.
How do I choose the right Medicare plan for my needs?
To choose the right Medicare plan, consider your healthcare needs, budget, preferred doctors and hospitals, prescription medications, and additional benefits you may want. Compare Original Medicare plus a Supplement and Part D plan versus Medicare Advantage plans available in your area. Consulting with a Medicare specialist can help you evaluate your options and find the best fit.
What is the Medicare donut hole or coverage gap?
The Medicare donut hole, or coverage gap, is a temporary limit on what most Part D plans cover for drugs. In 2023, once you and your plan have spent $4,660 on covered drugs, you’re in the coverage gap. While in the gap, you pay no more than 25% of the cost for covered brand-name and generic drugs. You exit the gap when your out-of-pocket costs reach $7,400, after which catastrophic coverage begins.
Can I change my Medicare plan after enrolling?
Yes, you can change your Medicare plan during specific enrollment periods. The Annual Enrollment Period (October 15-December 7) allows you to change between Original Medicare and Medicare Advantage or switch Part D plans. Medicare Advantage enrollees can also make one change during the Medicare Advantage Open Enrollment Period (January 1-March 31). Special Enrollment Periods may apply in certain circumstances like moving or losing other coverage.
Have a Medicare question that’s not answered here? We’re happy to help.
What Our Clients Say
We’ve helped thousands of Medicare beneficiaries find the right coverage for their needs. Here’s what some of them have to say.
David took the time to explain all of my Medicare options in terms I could understand. He helped me find a Medicare Advantage plan that includes my doctors and covers my medications at an affordable cost.
I was overwhelmed by all the Medicare mailers and commercials. David guided me through the process step by step and found me a Medigap plan that gives me peace of mind knowing my healthcare costs are predictable.
When my employer health coverage ended, I had no idea how to transition to Medicare. David made the process simple and stress-free. He even helped me apply for Extra Help to lower my prescription costs.
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Evening appointments available upon request. Special hours during Medicare’s Annual Enrollment Period (Oct 15 – Dec 7).
Why Choose David for Medicare Guidance?
✅ Licensed Insurance Professional with Bankers Life
✅ Specialized Medicare Education and Training
✅ Personalized Guidance for Your Unique Needs
✅ No-Cost, No-Obligation Consultations
Helping you navigate the complex world of Medicare with expert guidance and personalized solutions.
David Llombart – Licensed Medicare Insurance Agent
Florida License #G216547
Serving South Florida from Miami to the Keys and West Palm Beach