Senior Medicare Advantage plan insurance in James Island, SC

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Helping Seniors Make Better-Informed Medicare Decisions

Trying to pick a health insurance plan can be a chore for anyone. For many people, just mentioning the word "open enrollment" sends shivers down the spine. It seems like there's always a nagging feeling that you're wasting money, choosing a plan with poor in-network care, or both. One would think that health insurance gets easier as you approach retirement age, but the truth is that picking an initial Medicare coverage plan can be daunting.

Unfortunately, the confusing process of signing up for Medicare causes many seniors to forego healthcare coverage altogether. After all, Medicare enrollment can involve several federal agencies, including the Social Security Administration (or SSA) and the Centers for Medicare and Medicaid Services (or CMS).

At Senior Medicare Insurance Services, our passion is guiding seniors through the confusion of Medicare. That way, they can enjoy retirement with peace of mind knowing they are protected and ready for life after 65. We work with dozens of insurance companies, giving our clients the chance to choose a plan that best fits their lifestyle.

We choose to design our senior insurance plans with a focus on optimal benefits structure, lower costs, and personalized service. Some independent insurance agencies see their aging customers as nothing more than a financial transaction waiting to happen. In contrast, we treat each of our clients with respect and dignity as we help them navigate the confusing waters of Medicare. Combined with individualized service, we help older Americans make well-informed decisions about insurance. Whether you're in need of senior Medicare Supplement Plan insurance in James Island or simply have questions about signing up for Medicare, our team is here to help.

Helping Seniors Make Better-Informed Medicare Decisions
What is Medicare?
The amount of money you pay for your health care depends on several factors, including
Senior Medicare Supplement Plan Insurance in James Island
Important Information About Senior Supplement Plan Insurance
Senior Medicare Advantage Plan Insurance in James Island, SC
How Medicare Advantage Plans Work
Medicare Advantage Plan Insurance Rules
Paying for Your Senior Medicare Advantage Plan Insurance
The Senior Medicare Insurance Services Commitment

Senior Medicare Advantage Plan Insurance James Island, SC

Guiding You Through The Confusion of Medicare!

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What is Medicare?

If you're approaching the golden years of your life, it's important you understand what Medicare is if you don't already.

Medicare is a federal health insurance program reserved for people older than 65 who have worked full-time for at least ten years. The Medicare program is paid for by a combination of worker payroll tax, premiums paid by Medicare enrollees, and the U.S. government.

There are four parts of Medicare:

This type of Medicare is free for most U.S. citizens. Medicare Part A helps older adults pay for care in a nursing facility, hospital visits, and some forms of in-home senior care.

This tier costs around $100 per month. It covers different outpatient services like lab tests, preventative care, doctor's visits, mental health care, clinical trials, and some forms of surgery.

This type of Medicare is most often called Medicare Advantage. This tier of Medicare allows seniors to choose health plans provided by insurance companies like Senior Medicare Insurance Services. Individuals who use Medicare Advantage commonly use Medicare supplement plan insurance to help pay for health care costs that Original Medicare won't cover, like coinsurance, deductibles, and copayments.

Sometimes called "PDPs," these plans add drug coverage to standard Medicare, some Medicare Private Fee-for-Service Plans (PFFS), some Medicare Cost Plans, and Medicare Medical Savings Account Plans (MSA).

The amount of money you pay for your health care depends on several factors, including:

What kind of care you need, and how often it is needed.
The type of Medicare coverage you choose.
Whether there are alternative insurance policies that will help fill gaps in your coverage
Whether a doctor agrees to charge you the same amount that Medicare will cover for a medical service

At Senior Medicare Insurance Services, we offer a number of health insurance solutions for seniors. Two of our most used services include Medicare Advantage plan insurance and Medicare supplement plan insurance.

Senior Medicare Supplement Plan Insurance in James Island

Sometimes called Medigap, the purpose of Medicare Supplement Insurance is to help fill in "gaps" that might not be covered by Original Medicare. You can think of a Medigap policy as a supplement for your Original Medicare benefits.

Private companies like Senior Medicare Insurance Services sell this type of insurance right here in South Carolina. While Original Medicare will pay for much of the cost associated with health care services you need, it may not cover all of your expenses. Generally, Medigap policies do not cover costs stemming from eyeglasses, private-duty nurses, dental care, hearing aids, or long-term care.

Depending on the Medicare Supplement Plan that you choose, it may cover out-of-the-country medical services when you travel abroad. Assuming you have Original Medicare coverage, your policy will cover its share of Medicare-approved health care costs. Once your Original Medicare coverage reaches its limit, your Medigap policy will pay its share of the fees.

Our Medigap policies are drafted to meet your specific needs, and can help cover remaining health care costs such as:

Deductibles

Copayments

Coinsurance

Important Information About Senior Supplement Plan Insurance

To dispel some confusion, you should know that a Medigap policy is not the same as a Medicare Advantage Plan. The latter helps you receive Medicare benefits, while the former supplements the benefits you obtain through your Original Medicare plan. As you begin to explore Medicare Supplement Insurance Plans, keep the following important information in mind:

As you begin to explore Medicare Supplement Insurance Plans, keep the following important information in mind:

To qualify for a Medigap policy, you must first have Medicare Part A and Medicare Part B.
Payments on your Medicare Supplement Insurance Plan will be made to the private insurance company that you choose, like Senior Medicare Insurance Services. These payments are made every month and are paid in addition to the monthly payment you make for Medicare Part B.
If you are the holder of a Medicare Advantage Plan, it is illegal for an insurance company to sell you a senior Medicare Supplement Policy. If you plan on switching back to an Original Medicare plan, you may be able to purchase a Medigap policy.
If you have health problems as you age, your standardized Medigap policy is guaranteed to be renewable. So long as you pay your monthly premium, your insurance provider cannot cancel your policy.

Medigap policies only cover one person. If you have a spouse or family member that would like coverage, they must purchase a separate policy.
You may only buy a Senior Medicare Supplement Plan from an insurance agent that is licensed to sell them in your state. Senior Medicare Insurance Services has been licensed to sell Medigap policies in South Carolina for years. We have helped countless seniors get the Medicare coverage they need and continue to do so to this day.
In the past, Medigap policies were able to cover costs related to prescription drugs. As of January 1st, 2006, prescription drug coverage is not available on Medicare Supplement Plans. The best way to get coverage for your prescription drugs is to join a Medicare Prescription Drug Plan, often called Part D. Contact our office today to learn more about paying premiums on Medigap and Medicare plans.

For many people, the best time to buy senior Medicare Supplement Plan Insurance in James Island is during the 7 months Medigap Open Enrollment Period. This period starts the day you turn 65 years old, so long as you hold Medical Insurance (Medicare Part B). Generally, during the enrollment period, you get more policy choices and better pricing. Once the enrollment period is over, you may not be able to purchase a Medigap policy. Contact Senior Medicare Insurance Services today to determine if you qualify for a Medicare Supplement Insurance Plan.

Senior Medicare Advantage Plan Insurance in James Island, SC

A Medicare Advantage Plan is a kind of Medicare health coverage designed to provide seniors with all their Part A and Part B Medicare benefits. Many Medicare Advantage Plans will often include coverage of the following:

Preferred Provider Organizations
Special Needs Plans
Private Fee-for-Service
Medicare Medical Savings Account Plans
Health Maintenance Organizations

Senior Health Insurance James Island, SC

In addition, most Medicare Advantage Plans give seniors coverage for their prescription drug needs. When you enroll in a Medicare Advantage Plan through Senior Medicare Insurance Services, your Medicare benefits are covered through your plan and will not be paid for by traditional Medicare.

How Medicare Advantage Plans Work

Sometimes called "MA Plans" or "Part C," Medicare Advantage Plans are considered an "all in one" solution to Original Medicare. Senior Medicare Advantage Plans are only offered by private companies that are approved, like Senior Medicare Insurance Services. Seniors who enroll in a Medicare Advantage Plan are still on Medicare. However, these individuals enjoy bundled plans that give seniors the benefits of hospital insurance (Medicare Part A), medical insurance (Medicare Part B), and sometimes drug coverage (Part D).

Medicare Advantage Plans are very popular because they cover all Medicare services and make life a little easier for seniors who have trouble understanding the nuances of Medicare.

When you contact Senior Medicare Insurance Services to choose your Medicare Advantage Plan, ask your agent about Medicare prescription drug coverage. Unless you already have drug coverage (Part D), you should seriously consider Part D coverage to help reduce costs associated with prescription drugs. You may also want to consider a Medicare Supplement Insurance Plan to help fill gaps in coverage that Original Medicare will not cover.

Medicare Advantage Plan Insurance Rules

Medicare works by paying a set amount of money to the companies that offer senior Medicare Advantage Plan insurance in James Island. That money is used to pay for the care services that you need. Because Medicare Advantage Plans are different, you should expect out-of-pocket costs to vary depending on the plan you choose.

Different plans have different rules for how you receive services, such as:

If you must go to facilities, suppliers, or doctors that belong to your Advantage Plan for non-urgent and non-emergency care.
Whether you must get a referral to see a specialized doctor

Companies that offer Medicare Advantage Plans must follow strict rules, which are set by Medicare and can change every year.

Paying for Your Senior Medicare Advantage Plan Insurance

How much you pay for your Medicare Advantage Plan varies and depends on a few different factors. In most cases, if you need a kind of medical service, you will need to rely on the doctors and providers in your plan's service area and network to pay the lowest amounts. In some cases, if you choose to use a service outside of your plan's network of coverage, you may have to pay out-of-pocket.

We encourage you to contact our office today to learn more about Medicare Advantage Plans, how they work, what your options are, and how often you will have to pay out-of-pocket, if at all.

The Senior Medicare Insurance Services Commitment

Since our company was founded, we have led the insurance industry by providing our clients with the most valuable, helpful insurance solutions available. We are fully committed to our current and prospective clients by:

Choosing to focus on personalized, one-on-one service. When you work with our team, know that we will always design your health insurance plan with your best interests in mind.
Listening to your specific needs.
Responding to all inquiries and questions promptly and with a friendly attitude.
Providing you with the best customer service in the senior health insurance industry, whether you have questions or are ready to move forward with a Medicare plan.

Our mission is to help give seniors the best Medicare assistance available so that they may understand the Medicare process and make an informed health coverage decision. We have the knowledge, skills, and experience to assist anyone interested in Medicare. Our personal goal is to become a lifetime resource for our clients and give them greater confidence in choosing their insurance plans.

We do not offer every plan available in your area. Currently we represent 8 organizations which offer 82 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

12 Hottest New Restaurants in Charleston, December 2024

More often than not, tipsters, readers, friends, and family of Eater have one question: Where should I eat right now? What are the new restaurants? What's everyone talking about? While the Eater 18 is a crucial resource covering old standbys and neighborhood essentials across the city, it is not a chronicle of the "it" places of the moment. Enter the Eater Heatmap, which will change continually to highlight the spots crowds...

New to the list:

December: Blanca EstradaNovember 2024: Legami, Chef Loong Dim SumOctober 2024: Linnette’s September 2024: the Archer August 2024: the SelectJuly 2024: Marbled & Fin, MakanJune 2024: Downtown Co-OpMay 2024: Sissy Bar, CoterieApril 2024: Da Toscano Fugazzi, XO Brasserie March 2024: Bodega Mount PleasantFebruary 2024: Cleats, Lowland Dining Room, Palmira BarbecueJanuary 2024: the Harlow, Da Toscano Porchetta ShopDecember 2023: the Quinte, Lowland Tavern, Lost Isle, Costa, BearcatNovember 2023: King BBQOctober 2023: Honeysuckle Rose

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Eater maps are curated by editors and aim to reflect a diversity of neighborhoods, cuisines, and prices. Learn more about our editorial process.

The team from downtown bar Dalila’s opened a fun new spot in Park Circle. Sissy Bar takes inspiration from Southern California, from mezcal drinks to breakfast burritos to a massive barbacoa taco platter. Bring friends to sample all the sharable plates.

Slow-cooked brisket and whole hog meet Puerto Rican flavors at Palmira Barbecue. Pitmaster Hector Garate has been popping up around the Lowcountry for several years, but now he has a permanent address in West Ashley.

The crew from hip breakfast spot Daps opened a sports bar with better food and drinks found at typical sports bars. Find pit beef sandwiches, Thai-flavored hot dogs, green hatch chili wings, and waffle fries.

Herman Ng grew up working in his family’s Chinese restaurant, and now he owns his own with the opening of XO Brasserie. The menu focuses on Cantonese and Sichuan cooking, including XO lobster, mapo tofu, and garlic pepper beef. Don’t miss the fun cocktails or the desserts.

The couple behind Wagener Terrace hangout Berkeley’s recently opened their second restaurant, the Archer. They want it to have the same neighborhood vibes but raise the stakes with a full bar and fine dining-level comfort plates. Chef Paul Farmer (formerly of Three Sirens), puts out plates like duck frites, baked oysters, beef stroganoff, chicken liver mousse, and chilled crab dip.

Legami is a new Italian restaurant boasting a chef brought in from Rome by a family with roots in Turin, Italy. Washington Street Hospitality, which controls three Pasta Beach restaurants in New England, thought the King Street building would be another location for Pasta Beach, but decided to switch it up once they got into the historic building. Chef Andrea Congiusta cooks modern Italian fare with some influences from France. “We took inspiration from the classic fine dining, but we also want to have something fun, something that looks very fancy, and something you can crave,” says Congiusta. Dishes include king crab tagliolini, beef Wellington, and veal Milanese.

Modern steakhouse Marbled & Fin is giving all the other steakhouses a run for their money. The expansive dining room fills nightly with well-heeled customers ready to see and be seen. On the menu, chef Eucepe “Cepe” Puntriano includes all the steakhouse classics plus an emphasis on seafood dishes for non-meat eaters. Look for seafood towers, wedge salads, wagyu beef, bone marrow with oysters, creamed spinach, and more.

D.C.-based Malaysian restaurant Makan now has a second location in the Lowcountry. Chef James Wozniuk wanted the South Carolina location to feature local seafood. The ikan asam pedas, a Malaysian hot and sour fish curry, is a must-try if you like spice. There’s also rendand daging (dry beef curry), curry mee (noodle soup with chicken sausage), and kerabu mangga (mango salad).

Charleston is going crazy for soup dumplings, and newcomer Chef Loong Dim Sum delivers. The restaurant offers four flavors (pork soup, chicken soup, pork tomato soup, and truffle pork soup). The rest of the menu is quite extensive as well, with selections ranging from Sichuan mala chicken, crab rangoon, dan dan noodles, mapo tofu, and more.

The team behind Italian favorite Le Farfalle has an enticing new cafe in Charleston. The focus of Da Toscano Porchetta Shop is the housemade focaccia and everything that can be sandwiched between the airy bread. Chef Michael Toscano serves a filling chorizo and egg sandwich in the morning and a sumptuous porchetta sandwich in the afternoon. There’s also choices like prime rib, roast chicken, marinated eggplant, and so much more.

Chef Micheal Toscano recently opened a taco shop next to his Italian restaurant Le Farfalle. Blanca Estrada is Toscano’s ode to his Mexican mother and grandmother, whose cooking was an early influence on his culinary journey. The kitchen offers a selection of tacos, from cochinita pibil to lengua, several specials, like a lamb neck burrito, and several tequila drinks and pineapple vinegar soda.

Charming new hotel the Dunlin offers sweeping views of the Kiawah River, abundant hospitality, and coastal Southern fare in its signature restaurant, Linnette’s. Chef Michael DeCicco puts out dishes like a pressed and pickled watermelon salad, wood-fired oysters, cornmeal-crusted flounder, and a sorghum-benne lacquered steak with charred okra.

James Island leaders want to know your vision for future arts center facility

|Updated: Dec. 3, 2024 at 6:33 PM ESTJAMES ISLAND, S.C. (WCSC) - The Town of James Island plans to build a brand-new Arts and Cultural Center in the future, and town leaders want to know your vision for it.Town officials invite you to a public input meeting next week as an opportunity to share your ideas for the new facility.Mayor Brook Lyon said the design plan is still in the very beginning stages, but your input still matters.“Everyone has ownership in it so everyone has a stake in it, so everyone feels a...

|Updated: Dec. 3, 2024 at 6:33 PM EST

JAMES ISLAND, S.C. (WCSC) - The Town of James Island plans to build a brand-new Arts and Cultural Center in the future, and town leaders want to know your vision for it.

Town officials invite you to a public input meeting next week as an opportunity to share your ideas for the new facility.

Mayor Brook Lyon said the design plan is still in the very beginning stages, but your input still matters.

“Everyone has ownership in it so everyone has a stake in it, so everyone feels a part of it and so it meets the needs of the majority of the people that will be using it and enjoying it,” she said.

Lyon said prior to this plan, the town didn’t have a dedicated arts and cultural building, so they leased the old library building from Charleston County for the past four years.

“It’s been a wonderful opportunity, but the space, the building itself needs a new roof and some repairs, and it’s a large expense to put into a building we don’t own. Council decided because of the expensive repairs as well as issues with parking, it would be prudent to move operations to town hall temporarily, close the current art center temporarily, move the operations to town hall, and then we’re moving forward with plans to build a new art center,” she said.

Lyon said the old library sufficed for the time being but doesn’t make sense financially to continue using it long term.

“It would not be financially prudent to put town money into that much money into a building we don’t own. And there were some stipulations on the parking. The parking lot is privately owned, and that was another issue that we felt like if we move our own art center over here, we have all the parking we need. We own the building, so it makes sense to put town money into a building that we own,” she said.

Lyon said this is the perfect opportunity for you to tell those in charge what your priorities are before any final plans are made.

We’ll have a survey for people to fill out. They can ask questions. I hope to have a slide presentation of the state-of-the-art center that I hope that we can mirror some of those qualities and meet the needs of the citizens that are interested in this wonderful opportunity,” she said.

According to a press release, the town council voted on Nov. 21 to move forward with plans for the new center: “Despite not owning the building, town taxpayers would have been responsible for these repair costs of $250,000 to $400,000 under the lease agreement, along with significantly higher parking costs for even a limited number of spaces at the site.”

The town plans on having more feedback sessions throughout the planning and design process.

“A lot of it is going to depend on what the community wants and what type of building we end up looking at constructing. I don’t have a direct answer for you yet. More will be revealed very soon, but hopefully, we’ll get the best for our dollar and have a great space,” Lyon said.

The new arts center will sit just feet away from the town hall, on the Town’s Hillman Lot.

The public input meeting will be held in the Town Hall Council Chamber on Dec. 11 at 7 p.m.

Lyon said current Arts and Cultural Center programming hasn’t stopped and will continue at James Island Town Hall for now.

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