Medicare

At Tom Martfeld and Associates, we understand that Medicare can be a maze of options and choices, especially for seniors seeking comprehensive healthcare coverage. With nearly 50 years of experience, we specialize in simplifying the complexities of Medicare, ensuring you have the right plan to meet your unique needs. Our expert team is here to guide you through every step of the Medicare journey.

Medicare Insurance

Medicare is the government-sponsored health insurance program for people age 65 and over, or for those who are unable to work due to a disability and have been receiving Social Security Disability benefits for a period of at least two years.

Medicare is not designed to pay all of your medical expenses. Without some type of supplemental coverage, a Medicare beneficiary could pay substantial out-of-pocket costs for health-related expenses.

The Medicare Modernization Act of 2003 created two new Medicare programs. Effective on January 1, 2006, Medicare began offering Prescription Drug Coverage (Part D) as well as Medicare Advantage plans. Medicare Rx coverage and Advantage plans are offered to Medicare beneficiaries through private insurance companies. We offer many of the most popular plans from companies such as Arkansas Blue Cross Blue Shield, Humana, Cigna, and others. Medicare Advantage Plans offer Medicare coverage with low or zero premiums. You do pay your Medicare Part B premium, which is withheld from your Social Security benefit each month.

Medicare Supplement plans pay your Medicare deductibles and coinsurance amounts. If you choose a Medicare Supplement Plan you will be covered for 100% of all Medicare eligible medical expenses. We offer Medicare Supplement plans from the America’s leading insurance companies.

Our Services

  • Understanding Medicare
  • Enrollment
  • Plan Navigation
  • Rx Planning
  • Supplemental/Medigap Services
  • Low Cost Medical

And Many
More Plans

Medigap

Original Medicare (Parts A and B) might leave gaps in coverage that could result in out-of-pocket expenses. That’s where Medigap plans come in.

We’ll help you understand the various Medigap plans available, each offering different levels of coverage to supplement your Medicare benefits and reduce your financial burden. Additionally, we’ll help choose the right medigap plan for you. Our knowledgeable team will assist you in selecting the Medigap plan that aligns with your medical needs and budget, ensuring you have comprehensive coverage without unexpected costs.

Explaining Medicare Parts

Medicare Part A (Hospital Insurance):

Covering inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care services, Medicare Part A ensures you’re protected when hospitalization is necessary.

Medicare Part B (Medical Insurance):

This part covers outpatient care, doctor visits, preventive services, and durable medical equipment. We’ll help you understand the services covered under Part B and how it complements your overall healthcare.

Medicare Part C (Medicare Advantage Plans):

These plans combine Part A, Part B, and often Part D (prescription drug coverage) into a single plan offered by private insurance companies. We’ll explain the benefits of Medicare Advantage and help you choose the right plan for your lifestyle.

Medicare Part D (Prescription Drug Coverage):

Our expertise extends to guiding you through the selection of a Part D plan that best covers your prescription medications, ensuring you don’t face unexpected costs for essential medications.

This continues from part D all the way to N.