Medicare

Upon turning 65 years old, you'll be eligible for Medicare coverage, as a way to supplement or completely replace you existing health insurance coverage. Through the use of your Medicare card, the government provides Original Medicare at this time; also known as Medicare Part A and Medicare Part B. 

In addition, you have two options to further enhance your Medicare coverage. 

1) Medicare Part C or Medicare Advantage- Health Insurance plans provided by private insurance companies that offer at least the same level of benefits of Original Medicare but can also include additional ancillary services and protections. With this arrangement, you forfeit Original Medicare as your network and agree to accept the terms and conditions of the private insurance company's provider network. 

2) Medicare Supplement Insurance or Medigap- Administered by various private insurance companies, different coverage levels will help pay for additional out-of-pocket costs not covered by Original Medicare. Typically, the more expensive the Medigap plan is in premium( denoted by letters such as Plan F or Plan K), the more of Original Medicare it covers. 

With Medigap, you might have to buy Part D coverage as well. Part D coverage helps cover the costs of prescription drugs for Medicare-eligible consumers. 

Individual Coverage 

How do I report my income to GetCovered NJ?

  • Rule #1: Report expected household income for the year you’re applying. If you estimate, over reporting your income never results in a penalty. Under reporting your income will. Know that household income can be updated monthly on your application. 
  • Rule #2: On you tax return, report EVERYONES income, even if certain members aren’t applying for health coverage.

How do I "estimate" my income?

  • Step #1: Find your household adjusted gross income (AGI).
  • Step #2: Add the following kinds of income: Tax-exempt foreign income, tax-exempt social security benefits, tax-exempt interest.
  • Step #3: Estimate changes throughout the year. If the income you report is too high, you will be penalized. If the income you report is too low, nothing happens. Talk to us for more information...

Examples include: pay raises, employment changes, changes in supplemental income, etc.