You were started by Good Day Pharmacy. Do you push plans that keep me filling there?
No. It is a fair thing to wonder about, so here is the plain answer: the plan has to fit your medications, your doctors and your budget. If the best one means filling somewhere else, we will tell you. The only time a pharmacy comes into it is if you ask us to keep yours.
Does it cost anything to meet with you?
No. We are paid by the insurer if you enroll, and your premium is the same either way. Plenty of the plans we look at are already the right one, and we say so.
How do you get paid, and how much?
Insurers pay a commission when someone enrolls. Ask what any plan pays us and we will tell you the number.
Why would pharmacists start a Medicare agency?
Because we watched it break every January. Someone would hand us a new card and a medication they had taken for years came back at four times the price. We could see it coming. We just could not do anything about it, so we got licensed.
What do you need from me before the appointment?
Your medications with the doses, your doctors, and your current plan if you have one. A printout from your pharmacy is ideal. A photo of the bottles works fine too.
Will I be able to keep my doctor?
That depends on the plan, and it is exactly what we check. Bring your list of doctors and we will look each one up before recommending anything.
Will my prescriptions still be covered?
Bring the list and we will tell you plan by plan. What matters is not just whether a drug is covered, but which tier it sits on and whether it needs a prior authorization. That is where the cost hides.
I already have an agent.
Then keep them. Bring us their comparison and we will price your medications against it. If they got it right, we will say so. That happens a lot.
I do not want to change pharmacies.
That is one of the things we check. Some plans quietly cost you more at the pharmacy you already like, and it is rarely on the front page of the plan material.
Can I bring my spouse or my kids?
Please do. It goes better when everyone hears the same explanation at the same time.
I am still working at 65. Do I need to do anything?
Probably something, and it depends on the size of your employer. With 20 or more employees you can usually wait on Part B. With fewer, your group plan may not pay properly without it. Worth one phone call before you decide.
What happens after I enroll?
You keep our number. Letters arrive that explain nothing, and drugs move tiers mid-year. When that happens, you call the same person who set your plan up.
Are you part of Medicare or the government?
No. We are a private, independent agency, not affiliated with or endorsed by Medicare or any government agency. We represent plans from several private insurers, and we do not offer every plan in your area.