GOLDEN ARMOR
Personalized Medicare Guidance to help you get the coverage you deserve.
INSURANCE
Our Journey
Golden Amor Group began with a simple vision: to provide honest, straightforward Medicare guidance to the senior community. What started as a small business has grown into a trusted Medicare resource for seniors across Florida. Throughout our growth, we've maintained our commitment to personalized service and putting our clients' needs first.
Today, our team of Medicare specialists continues this tradition, combining extensive knowledge with genuine care to ensure every client finds the perfect coverage solution.
Medicare Coverage
Our Medicare Plans
Personalized Plans
We offer personalized Medicare plans designed to provide comprehensive coverage, including prescription drug coverage, preventive care, and wellness programs to ensure the well-being of our clients.
Supplemental Plans
Our supplemental Medicare plans are tailored to meet the unique needs of individuals, offering a range of benefits to support their health and well-being.
Support Network
In times of need, our dedicated team provides prompt assistance and guidance, ensuring that our clients receive the necessary support during unforeseen medical situations.
What is Medicare ?
Medicare is a federal health insurance program in the United States designed primarily for:
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People aged 65 and older
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Individuals under 65 with certain disabilities
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People of any age with End-Stage Renal Disease (ESRD) or ALS (Lou Gehrig’s disease)
Medicare helps cover many essential healthcare services, including hospital stays, doctor visits, preventive care, and prescription drugs, depending on the coverage you choose.
The 4 parts of Medicare
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Part A – Hospital Insurance
Covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care.
Part B – Medical Insurance
Covers doctor visits, outpatient care, medical supplies, and preventive services.
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Part C – Medicare Advantage Plans
Offered by private insurance companies approved by Medicare. These plans combine Part A and Part B and often include additional benefits like dental, vision, hearing, and prescription drug coverage.
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Part D – Prescription Drug Coverage
Helps cover the cost of prescription medications. Plans are offered by private insurers.
Understanding Medicare Enrollment Periods with Golden Armor Insurance
Navigating Medicare can feel complex, but at Golden Armor Insurance, we believe in empowering you with clear, concise information. Medicare enrollment periods are specific windows designed for you to:
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Sign up for Medicare for the first time.
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Modify your existing Medicare plan.
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Add, change, or discontinue prescription drug coverage.
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Transition between Original Medicare and Medicare Advantage.
It's crucial to understand that not all enrollment periods are the same. Some are automatically triggered by age, while others occur annually or are prompted by significant life events such as relocating or losing other health coverage
The Essential Medicare Enrollment Periods
Let's explore the key enrollment periods you need to know:
1. Initial Enrollment Period (IEP)
This is your foundational opportunity to enroll in Medicare, a critical window that sets the stage for your coverage.
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Who It's For: Individuals turning 65 or becoming eligible for Medicare due to disability.
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When It Happens: It spans a 7-month window: beginning 3 months before your 65th birthday month, including your birthday month, and extending 3 months after.
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Why It Matters: Failing to enroll in Parts A, B, or D during your IEP can result in lifelong late enrollment penalties, significantly increasing your premiums.
2. General Enrollment Period (GEP)
The General Enrollment Period provides a safety net for those who missed their Initial Enrollment.
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Who It's For: Anyone who did not sign up for Medicare Part A and/or Part B when they were first eligible.
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When It Happens: Annually, from January 1 to March 31.
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Why It Matters: Coverage initiated during this period begins on July 1. Be aware that you may still incur late enrollment penalties for Parts A and B if you defer enrollment until the GEP.
3. Annual Enrollment Period (AEP)
Also known as the Open Enrollment Period, the AEP is your yearly opportunity to review and adjust your Medicare coverage.
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Who It's For: All individuals already enrolled in Medicare.
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When It Happens: Annually, from October 15th to December 7th.
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What You Can Do:
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Switch from a Medicare Advantage plan back to Original Medicare.
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Change your current Medicare Advantage plan.
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Enroll in, disenroll from, or switch Medicare Part D prescription drug plans.
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Transition from Original Medicare to a Medicare Advantage (Part C) plan.
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Why It Matters: Any changes you make during the AEP will become effective on January 1 of the following year.
4. Medicare Advantage Open Enrollment Period (MA OEP)
The MA OEP offers a specific window for those already in a Medicare Advantage plan to make certain changes.
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Who It's For: Current Medicare Advantage (Part C) members.
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When It Happens: Annually, from January 1st to March 31st.
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What You Can Do:
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Switch to a different Medicare Advantage plan.
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Discontinue your Medicare Advantage plan and revert to Original Medicare (with or without adding a Part D plan).
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Why It Matters: You are limited to making only one change during this specific period.
5. Special Enrollment Periods (SEPs)
Special Enrollment Periods are triggered by significant life changes, offering flexibility outside of standard enrollment windows.
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Common SEP Reasons & Examples:
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Relocation: Moving to a new area where your current plan is not available.
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Loss of Other Coverage: Retiring and losing employer-sponsored health insurance.
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Eligibility for Extra Help: Becoming eligible for Medicaid or financial assistance for prescription drug costs.
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Why It Matters: SEPs allow you to enroll or modify your coverage without waiting for the next AEP. Each SEP has its own specific time limit, often requiring prompt action (e.g., within 2 months of the qualifying event).
The Importance of Timely Enrollment
Missing an enrollment period can lead to:
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Higher Premiums: Particularly for Medicare Part B and Part D, late enrollment penalties can result in permanently increased monthly costs.
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Coverage Delays: You might face significant waiting periods before your coverage begins.
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Limited Choices: Missing a window could prevent you from accessing the most suitable plan options for your needs.
Mark your calendars, seek clarification, and ensure you make enrollment decisions at the appropriate times to safeguard both your healthcare and your financial well-being.
How Golden Armor Insurance Provides Your Enrollment Guidance
Medicare enrollment can seem daunting, but you don't have to navigate it alone. At Golden Armor Insurance, our licensed agents serve as your trusted advisors, guiding you through every critical enrollment period. We ensure you fully understand your options and help you avoid costly missteps.
We proactively track key dates for you, simplify complex choices into understandable language, and assist you in selecting the ideal plan at the perfect moment. Whether you're new to Medicare or considering a plan adjustment, our dedicated team at Golden Armor Insurance ensures you never miss a vital window, providing the ultimate protection for your healthcare journey.
Unveiling Medicare Costs in 2025 with Golden Armor Insurance
Understanding the financial aspects of Medicare is crucial for informed decision-making. At Golden Armor Insurance, we break down the various components of Medicare costs for 2025, ensuring you have a clear picture of what to expect. Medicare expenses primarily consist of:
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Monthly premiums: A recurring fee to maintain your coverage.
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Annual deductibles: The amount you pay out-of-pocket before your plan starts covering costs.
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Out-of-pocket expenses: These include copayments (fixed fees) and coinsurance (a percentage of the cost) for services.
Let's delve into the specifics of each part.
Original Medicare: Parts A and B
Part A – Hospital Insurance
Part A primarily covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health services.
Part B – Medical Insurance
Part B covers doctor's services, outpatient care, medical supplies, and preventive services.
Part D – Prescription Drug Coverage
Part D helps manage the cost of your prescription medications, offered through private plans approved by Medicare.
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Average Premium: Approximately $46.50/month (actual costs vary by plan and geographic location).
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Deductible: Up to $590 (some plans may have no deductible for certain drug tiers).
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Out-of-Pocket Cap (New in 2025): Your out-of-pocket spending for covered drugs is now capped at $2,000 per year, providing significant financial protection.
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Copays & Coinsurance: These amounts depend on your specific plan's formulary (list of covered drugs) and the drug's tier.
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Extra Help: Financial assistance is available for individuals with limited income and resources to help with Part D costs.
Medicare Advantage (Part C)
Medicare Advantage plans, offered by private insurance companies, are an all-in-one alternative to Original Medicare. They bundle Part A and Part B benefits (and often Part D) into a single plan.
Do Higher Incomes Impact Your Medicare Costs?
Yes, if your income exceeds certain thresholds, you will pay a higher premium for both Part B and Part D. This is known as the Income-Related Monthly Adjustment Amount (IRMAA).
2025 IRMAA Brackets
(Based on Modified Adjusted Gross Income from two years prior)
Other Important Cost Considerations
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Medigap (Medicare Supplement Plans): These private plans help cover the "gaps" in Original Medicare, such as deductibles, copayments, and coinsurance. Premiums for Medigap plans vary significantly based on your ZIP code, age, and the specific plan chosen.
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Late Enrollment Penalties: Delaying enrollment in Part B or Part D when you are first eligible can lead to permanent premium penalties, increasing your costs for the lifetime of your coverage.
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Dental, Vision, and Hearing: Original Medicare does not cover routine dental, vision, or hearing services. Many Medicare Advantage plans, however, include these valuable benefits.
How Golden Armor Insurance Empowers Your Medicare Journey
Understanding Medicare costs is a personalized process, and you don't have to navigate it on your own. At Golden Armor Insurance, we are dedicated to helping you:
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Demystify your Medicare costs from the outset.
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Compare and contrast various Medicare Advantage, Medigap, and prescription drug plans available in your area.
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Discover potential savings opportunities, including Extra Help, coordination with Medicaid, or specialized plans.
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Avoid common enrollment errors that could lead to higher costs or gaps in coverage down the line.
With Golden Armor Insurance, you receive honest answers and tailored solutions, free from pressure. Let us help you get your Medicare costs right the first time, ensuring your healthcare and financial well-being are protected.
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