Resources
Insights and guides to help you navigate Medicare with confidence — from statewide rules to local topics like getting Medicare help in San Diego.
The three questions Medicare asks, why a preventive screening can turn into a diagnostic bill, and every coverage guide in one place.
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Original Medicare excludes hearing aids and fitting exams. What Part B does cover, what Medicare Advantage plans may add, and the OTC option.
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Networks, HMO vs. PPO, drug coverage, and the enrollment windows — how to compare San Diego Medicare Advantage plans against your own doctors and prescriptions.
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A non-renewal notice does not end your coverage today. The special enrollment window, the Medigap guaranteed-issue right, and the deadlines that matter.
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Part B covers CPAP as durable medical equipment — after a sleep study, a 90-day trial with usage rules, and a 13-month rental before the machine is yours.
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Medically necessary PT is covered with no dollar cap. What the KX modifier threshold really means, and what you pay under Part B versus Part A.
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Medicare covers spinal manipulation for a subluxation — but not X-rays, exams, or maintenance adjustments. Where the coverage line falls, and what it costs.
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Medicare covers acupuncture for one condition only — chronic low back pain, up to 20 visits a year. The visit limits, the costs, and the California provider catch.
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Screening colonoscopies cost you nothing when your provider accepts assignment. How often Medicare pays, and why removing a polyp can create a bill.
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Yes — Original Medicare covers medically necessary cataract surgery and a standard lens. What's included, what you pay, and what premium lenses and LASIK cost extra.
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IRMAA adds a surcharge to Part B and Part D for higher-income Californians. How the 2026 brackets and two-year lookback work, and how to plan ahead.
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Original Medicare doesn't cover routine dental, vision, or hearing aids — but there are exceptions, and several ways Californians fill the gaps.
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When to enroll, how to weigh Medicare Advantage against Medigap, checking plans against San Diego's health systems, and where to find free, unbiased help.
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Yes — but two things have to line up: a window to leave Medicare Advantage, and a way into Medigap. Trial rights, guaranteed issue, and underwriting explained.
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The four windows for changing a Medigap plan in California — your 6-month open enrollment, the Birthday Rule, guaranteed-issue rights, and underwriting.
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Already have a Medigap policy? California gives you a window each year, starting on your birthday, to switch to an equal-or-lesser plan with no health questions.
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Leaving a job near 65? How Medicare and COBRA work together, which pays first, and the Part B enrollment trap that catches many people.
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Leaving a job or employer health plan after 65? How the 8-month Special Enrollment Period works in California, step by step — without penalties.
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Medicare's Annual Enrollment Period runs Oct 15–Dec 7, 2026. What Southern California beneficiaries can change, the key dates, and a month-by-month way to prepare.
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The Part D $2,100 out-of-pocket cap, updated Part B premiums and deductibles, and what California beneficiaries should know for 2026 — explained in plain English.
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Learn the critical timeline and enrollment steps when you're approaching your 65th birthday. Understand Initial Enrollment Period rules and avoid costly penalties.
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Compare the two main plan types side-by-side, including a feature-by-feature chart. Understand the differences in costs, coverage, and flexibility.
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Understand all the costs associated with Medicare, from premiums to deductibles. Get real-world scenarios to estimate your actual expenses.
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Learn the most common Medicare enrollment and plan selection mistakes, and how working with an independent broker can help you avoid them.
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