Serving East Tennessee Seniors and all Medicare beneficiaries(423) 545-9191
Senior American Insurance Group

Medicare Resources

Your Medicare Resource Center

Clear answers to common Medicare questions — from enrollment basics to plan comparisons. When you're ready to talk through your options, SAIG is here.

The Basics

Medicare 101

New to Medicare? Here's what you need to know before you enroll.

Part A

Hospital Insurance

Covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health services. Most people don't pay a premium for Part A if they or their spouse paid Medicare taxes while working.

Part B

Medical Insurance

Covers doctor visits, outpatient care, preventive services, and medical equipment. Part B has a monthly premium, an annual deductible, and typically a 20% coinsurance after the deductible is met.

Part C

Medicare Advantage

An alternative to Original Medicare offered by private insurers. Bundles Part A, Part B, and usually Part D into one plan. May include extra benefits like dental, vision, and hearing.

Part D

Prescription Drug Coverage

Standalone drug plans offered by private insurers. Covers brand-name and generic medications. Required to avoid a late enrollment penalty if you don't have other creditable drug coverage.

Enrollment Periods at a Glance

IEP

Initial Enrollment Period

7 months around your 65th birthday

Starts 3 months before the month you turn 65, includes your birthday month, and ends 3 months after. Enroll in Parts A, B, C, and D during this window to avoid late penalties.

AEP

Annual Enrollment Period

October 15 – December 7

Switch Medicare Advantage plans, move between Medicare Advantage and Original Medicare, or change your Part D drug plan. Changes take effect January 1.

OEP

Medicare Advantage Open Enrollment

January 1 – March 31

If you're already in a Medicare Advantage plan, you can switch to a different MA plan or return to Original Medicare (and add a Part D plan). One change allowed per year.

SEP

Special Enrollment Period

Triggered by qualifying life events

Losing employer coverage, moving out of your plan's service area, or other qualifying events may allow you to enroll or change plans outside standard windows.

GEP

General Enrollment Period

January 1 – March 31

If you missed your IEP and don't qualify for a SEP, you can enroll in Part B during GEP. Coverage begins July 1. A late enrollment penalty may apply.

Common Questions

Frequently Asked Questions

Medicare Glossary

Plain-language definitions for the terms you'll encounter most.

Premium
The monthly amount you pay for your Medicare coverage, regardless of whether you use medical services.
Deductible
The amount you pay out of pocket for covered services before your plan begins to pay.
Copayment (Copay)
A fixed dollar amount you pay for a covered service, such as $20 for a doctor visit.
Coinsurance
Your share of the cost of a covered service, calculated as a percentage. Original Medicare Part B typically requires 20% coinsurance after the deductible.
Out-of-Pocket Maximum
The most you'll pay for covered services in a plan year. Medicare Advantage plans have an annual out-of-pocket maximum; Original Medicare does not.
Formulary
A list of prescription drugs covered by a Part D or Medicare Advantage plan. Drugs are grouped into tiers that determine your cost.
Network
The group of doctors, hospitals, and other providers that have agreed to provide services to members of a specific plan at negotiated rates.
Medigap (Medicare Supplement)
Private insurance that works alongside Original Medicare to help pay costs Medicare doesn't fully cover, such as deductibles and coinsurance.
Creditable Coverage
Drug or health coverage that is at least as good as Medicare's standard coverage. Having creditable coverage lets you delay Medicare enrollment without penalty.
Special Needs Plan (SNP)
A type of Medicare Advantage plan designed for people with specific diseases, conditions, or characteristics, such as dual Medicare-Medicaid eligibility.

Still Have Questions?

Medicare doesn't have to be confusing. SAIG offers free, no-pressure consultations to help East Tennessee seniors find the right coverage. Call us or request a callback — we'll walk you through it.

By submitting your information, you are requesting to be contacted by a licensed insurance agent.

Important Disclosure: We do not offer every plan available in your area. Any information we provide is limited to the Medicare Advantage and Part D plans we offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.

SAIG agents are licensed insurance professionals authorized to discuss Medicare Advantage, Medicare Supplement, and Part D plans. Not connected with or endorsed by the U.S. government or the federal Medicare program.

Plan comparisons are based only on the plans we offer and the information provided by each plan. Benefits, premiums, and copays may change each year.

No beneficiary is required to provide contact information to access Medicare plan details. Any contact information you choose to provide will only be used to respond to your request. By submitting your information, you are requesting to be contacted by a licensed insurance agent.

Senior American Insurance Group

Helping East Tennessee seniors and all Medicare beneficiaries navigate Medicare with clarity, confidence, and care. No pressure. No cost. Just honest guidance from a neighbor who knows the plans.

(423) 545-9191[email protected]East Tennessee Service Area

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