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9 Important Medicare Mistakes to Avoid

Kenneth McCreery • March 12, 2019

9 Important Medicare Mistakes to Avoid


Medicare is complicated. This is the major criticism against it. Many Medicare mistakes occur on a regular basis. Avoiding these mistakes ensures that you’ll have far fewer challenges in getting the care you require. If you haven’t enrolled in Medicare yet, you’ll be well ahead of the game by keeping these mistakes in mind. Prevention is the best medicine.


If you’re currently enrolled, you can save yourself a lot of money and grief by determining that you’re not committing any of these common mistakes.


Avoid these common Medicare mistakes:


  1. Assuming that the best Part D Plan is the same as that of your spouse. Consider your prescription needs. They may not be the same as your spouse’s needs. Be sure to determine the coverage for the specific medications you take on a regular basis.
  2. Determine your out-of-pocket expenses separately for yourself and your spouse. Ensure that you’re both on the best plan for your individual situations.
  3. Assuming you haven’t worked enough to qualify for Medicare. It’s only necessary to work for 40 quarters, or 10 years, in order to avoid paying the dreaded Part A premiums. Part A covers hospital expenses. Be certain that you don’t qualify instead of making assumptions.
  4. Believing that open enrollment is the only time you can make a change. There are qualifying circumstances that will allow you to change your plan outside of the usual October 15th through December 7th window. Do your research to see if any apply to you.
  5. Not realizing that you can sign up for Medicare when you turn 65:
  6. If you’re not receiving social security benefits, you’ll have to sign up for Medicare manually. It’s possible to sign up online.
  7. If you are receiving social security benefits, you’re automatically enrolled in Medicare. 
  8. Paying significantly more in premiums due to a slight increase in income. Earning more than $85,000 per year can increase your premiums significantly. If you’re close to the limit, it’s worthwhile to make a few adjustments to stay below the $85,000 ceiling.
  9. Attempting to combine a health savings account and Medicare Part A. You can’t do both. You can continue contributing to your HSA after the age of 65, but you can’t enroll for Part A coverage. Determine which is more valuable for you.
  10. Failing to get expert advice. Given how complicated Medicare can be, one of the worst things you can do is to trust the advice of a friend.
  11. Your unique financial and health situations are important factors to consider when making Medicare decisions. Your friend’s advice is influenced by his own situation. If you have questions, find a true expert.
  12. Failing to sign up because you’re still employed. Depending on the quality of your employer’s insurance plan, it can be very advantageous to sign up for Medicare when you reach 65.
  13. Assuming your healthcare providers will still be part of your Medicare Advantage plan. Advantage plans require that your hospital and healthcare providers be part of the plan. Otherwise, you’ll pay more in co-payments.
  14. You can even be denied full coverage for a medical emergency. Choose a plan that includes your doctor or find another doctor.


By avoiding these common Medicare mistakes, you can ensure that you have the most economical coverage for your situation. For financial benefits and your own peace of mind, take the time to examine your current coverage.


Helm Insurance Group

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Are your retirement assets are protected from creditors? Just like anything with retirement planning, it depends on the circumstance. Consider a few things to consider while planning for your retirement. Articles about retirement planning typically discuss saving for the future and using different investment vehicles to help grow savings. You also may encounter articles about distribution methods for tax efficiency and longevity in retirement. How about protecting investments? No, not protection from the market, inflation, or other retirement risks, but protection from outside parties such as creditors. Here are a few things to know: Employer-sponsored plans covered by the Employee Retirement Income Security Act of 1974 (ERISA) are pr otected from creditors under federal law (certain exceptions apply). Simple IRAs and SEP-IRAs, though considered ERISA, are not covered under federal law. Non-ERISA employer plans are not protected under federal law; however, they may be protected under state law. IRAs and Roth IRAs may be covered under state law. Each state has different thresholds of protection and exemptions vary. These are just general items to know regarding asset protection. The plan is to get ahead of a situation before it happens with the hope it doesn’t happen at all. It is also wise to seek legal advice in their specific states so there are no surprises in the long run. Retirement planning is a process. A good plan does not mean just protection just from the market, but also from creditors and third parties. Laying out a plan and understanding your risks could lead to success in retirement.
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