New to Medicare

Explore your options

Whether you're eligible for Medicare coverage now or will be soon, Prevea360 Medicare Advantage provided by Dean Health Plan is here to help you understand your Medicare coverage options.

Eligibility
Medicare ABCDs
Enrollment periods
Resources

Request a free Medicare education guide

Our easy-to-understand guide outlines Medicare basics and helps you understand your options.

Learn more by attending a free Medicare event

Our events are a great way to learn more about your Medicare options and get answers to your questions. 

Request an appointment with one of our experts

Our one-to-one appointments offer a personalized approach to help you select the plan that is right for you. 

Plan options

Want to learn more about Prevea360 Medicare Advantage plan options?  View our 2021 plan guide.
 

Enroll online

If you are new to Medicare or qualify for special enrollment, you can enroll in a Prevea360 Medicare Advantage plan online.

Questions about your qualifications? Contact Prevea360 Medicare Advantage Sales Support at 1-877-234-0126 (TTY: 711). For more information about Medicare eligibility and enrollment policies and limitations, visit medicare.gov or call 1-800-MEDICARE (1-800-633-4227).

Eligibility

You are Medicare-eligible if you are a legal U.S. resident and one of the following applies to you:

  • You are age 65 or older
  • You are any age and have a qualifying permanent disability

 

The ABCDs of Medicare

Original Medicare

Original Medicare is administered by the federal government. Once you decide to join Medicare, you have a few different options. The federal government refers to these Medicare benefits and options as Parts A, B, C and D. No matter which option you choose, the first step is the same: Enroll in Original Medicare, also known as Parts A and B.

Part A

Hospital insurance inpatient care

  • Hospital room
  • Inpatient acute care
  • Inpatient mental health care
  • Skilled nursing facility care
  • Home health services
  • Inpatient tests and services
  • Other

Part B

Medical insurance outpatient care

  • Doctor visits (including annual wellness visit)
  • Outpatient services
  • Clinical lab services
  • Some preventive care
  • Durable medical equipment, such as oxygen and wheelchairs
  • Diagnostic tests such as X-rays and MRIs
  • Other


Original Medicare doesn't cover everything. Many Medicare recipients choose to buy additional plans from private insurance companies such as Prevea360 Medicare Advantage for alternative coverage options and to spend less out-of-pocket.

Part C

Medicare Advantage

  • Replaces Original Medicare Parts A and B
  • Has an annual maximum out-of-pocket
  • Often includes Part D coverage (prescription drugs)
  • Often includes extra benefits like dental, eyewear and more

Part D

Prescription drug coverage

  • Covers outpatient prescription medications
  • Offered in MAPD Plans (Medicare Advantage with Part D), or can be purchased separately in addition to Original Medicare


When to sign up for Medicare

Initial Enrollment Period (IEP)

This is the seven-month period during which you can enroll in Medicare for the first time often when you turn 65 or leave an employer-based plan when retiring after age 65. If you are enrolling for the first time due to disability, your IEP timing is based on your disability date. 

Annual Enrollment Period (AEP)

You can make changes to your medical and prescription drug coverage every year from Oct. 15–Dec. 7. Your changes are effective Jan. 1 of the following year. 

Open Enrollment Period (OEP)

Each year, from Jan. 1 – March 31 you can switch from a Medicare Advantage plan to another Medicare Advantage plan, or cancel your Medicare Advantage plan and return to Original Medicare. 

Special Enrollment Period (SEP)

This is a period when Medicare recipients may change medical and prescription drug coverage outside of AEP, if they meet certain requirements and have a qualifying event, such as moving to a new service area or leaving an employer-based plan. Learn more about SEP.


Medicare resources

Medicare booklets


Medicare contacts for Wisconsin residents

If you live outside of Wisconsin and are looking for contact information, or the agency you are looking for is not listed, see the government Medicare site.


Organization name

Agency nameCan answer your question aboutContact information
1-800-Medicare
1-800-Medicare
General Medicare and health plan information, ordering Medicare booklets
Toll Free: 800-633-4227
24 hours a day/7 days a week
CMS RO Centers for Medicare & Medicaid Services Regional Office
CMS, Chicago Regional Office
Information on local seminars and health fairs on Medicare health plan choices or to report a complaint directly to CMS
Toll free: 312-353-7180
See website
Railroad Retirement Board (For Railroad Retirement beneficiaries only)
Railroad Retirement Board (RRB)
RRB benefits, lost RRB Medicare card, address change and enrolling in Medicare
Toll free: 877-772-5772
See website
State Health Insurance Assistance Program
Wisconsin  - SHIP
Medigap policies, long-term care insurance, Medicare health plan choices, Medicare rights and protections and help with filing an appeal
Toll free: 800-242-1060
Local: 608-267-3201
Spanish: 888-701-1255
See website
Social Security Administration
Social Security Administration (SSA)
Address changes, Medicare Part A or Part B, lost Medicare card and Social Security benefits
Toll free: 800-772-1213
See website
State Department of Insurance
Office of the Commissioner of Insurance of Wisconsin
Medigap policies available in my area and insurance questions
Toll free: 800-236-8517
Local: 608-266-3585
See website


View our Medicare disclaimer.
H9096_prevea360.com
Updated: 7/22/2021