By Jenny Peterson
For many people, turning 65 means finally getting “cheap” health insurance. But Medicare is far more complicated — and potentially more expensive — than many seniors realize.
Tonya Bell, a Medicare insurance broker at Senior Care Insurance Services LLC and licensed in 26 states, has spent the past 15 years primarily helping people navigate Medicare. She said one of the biggest misconceptions is that Medicare covers everything at no cost.
“It’s not free health care,” Bell said. Medicare has separate deductibles for hospital and medical care, and Original Medicare generally covers 80% of approved costs after deductibles, leaving beneficiaries responsible for the remaining 20% with no annual out-of-pocket cap. For someone undergoing costly treatments such as chemotherapy, radiation or dialysis, those expenses can add up quickly.
What Medicare Does and Does Not Cover
Medicare also does not automatically cover prescription drugs, dental, vision or hearing care. Bell helps clients compare Medicare plans and supplements, prescription drug plans and Medicare Advantage plans based on their doctors, medications and preferred hospitals.
Bell represents multiple insurance carriers rather than working for a single company. She is paid by the carriers, not directly by clients, making her a free resource for Medicare recipients.
Medicare changes from year to year and seniors should review their coverage annually. Bell also helps people understand special circumstances, such as moving to South Carolina from another state.
Comparing Medicare With Employer Coverage
For people approaching 65 who are still working, Bell recommends comparing employer coverage with Medicare before making a decision.
Education remains the most important part of her work.
“There are a lot of rules,” she said. “That’s why education is so important.”
