nymedisure@gmail.com
631-933-5464
4019 73rd St, FL 1, NY 11377

MEDICARE & MEDICAID ENROLLMENT MADE SIMPLE

Schedule Your Consultation

Our Medicare & Medicaid Plans

Medicare Advantage Plans

All-in-one alternative to Original Medicare that often includes prescription drug coverage and additional benefits like dental, vision, and hearing.

Medicare Supplement (Medigap)

Helps pay some of the healthcare costs that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles.

Medicare Part D (Drug Plans)

Stand-alone prescription drug coverage that works alongside Original Medicare to help lower medication costs.

Medicaid Managed Care

Comprehensive coverage for eligible low-income individuals and families, often including doctor visits, hospital care, and prescriptions.

Dual Eligible Plans

Special plans for people who qualify for both Medicare and Medicaid, combining benefits from both programs.

Special Needs Plans (SNPs)

Tailored Medicare Advantage plans for people with specific diseases or characteristics, offering specialized care.

Here's What Makes Me Different

With over 15 years of experience in Medicare and Medicaid services, I provide personalized guidance tailored to your specific needs. Unlike large insurance companies, I offer one-on-one attention and take the time to understand your unique situation.

My services include:

  • Free consultations with no obligation
  • Annual plan reviews to ensure you always have the best coverage
  • Direct access to me for all your questions
  • Honest, unbiased advice about all available options
  • Help with claims and billing issues

I work with all the major insurance providers in New York, but I work for YOU - not the insurance companies. My goal is to find you the best coverage at the most affordable price.

About Me

My Background

With over 15 years of experience in the healthcare insurance industry, I have dedicated my career to helping individuals navigate the complex world of Medicare and Medicaid. As a licensed insurance agent in New York, I bring expertise, compassion, and personalized service to every client interaction.

My journey began when I saw my own family members struggle to understand their healthcare options. This inspired me to become an advocate for those who need guidance in making informed decisions about their coverage.

My Qualifications

• Licensed Medicare/Medicaid Insurance Agent in New York State

• Certified by the Centers for Medicare & Medicaid Services (CMS)

• Member of the National Association of Health Underwriters

• Continuing education in healthcare policy and insurance regulations

My Approach

I believe in taking the time to understand each client's unique needs and circumstances. My process includes:

1. Comprehensive needs assessment

2. Clear explanation of all available options

3. Personalized plan recommendations

4. Ongoing support and annual plan reviews

Client Testimonials

"Working with [Your Name] was a game-changer for my Medicare coverage. They took the time to understand my specific medication needs and found me a plan that saved me over $1,200 a year on prescriptions alone." - Robert S., Queens

"As someone new to Medicare, I was completely overwhelmed. [Your Name] explained everything in terms I could understand and made sure I had all my questions answered. I recommend them to all my friends turning 65." - Margaret T., Brooklyn

My Services

Medicare Services

Medicare Advantage Plans: Help you compare and enroll in Medicare Advantage plans that may offer additional benefits beyond Original Medicare.

Medicare Supplement (Medigap): Assistance in selecting the right Medigap policy to cover costs that Original Medicare doesn't.

Prescription Drug Plans (Part D): Guidance in choosing a Part D plan that covers your specific medications at the lowest cost.

Initial Enrollment: Step-by-step help with your first-time Medicare enrollment.

Medicaid Services

Medicaid Eligibility: Help determine if you qualify for Medicaid benefits in New York.

Managed Long Term Care: Assistance with MLTC plans for those needing long-term care services.

Dual Eligible Plans: Specialized help for those eligible for both Medicare and Medicaid.

Additional Services

Annual Plan Reviews: Yearly check-ups to ensure your plan still meets your needs.

Claims Assistance: Help with understanding and resolving insurance claims.

Educational Workshops: Free seminars on Medicare and Medicaid basics.

Contact Me

NY Medisure

4019 73rd St, FL 1, New York, NY 11377

Phone: 631-933-5464

Email: nymedisure@gmail.com

Office Hours: Monday-Friday, 9am-5pm

Schedule a Consultation

Ready to discuss your Medicare or Medicaid options? Use the appointment form below or call me directly.

Service Area

I serve clients throughout the New York tri-state area, including Queens, Brooklyn, Manhattan, Bronx, and Long Island. Virtual consultations available for clients throughout New York State.

Frequently Asked Questions

When should I enroll in Medicare?

Your Initial Enrollment Period begins 3 months before you turn 65 and ends 3 months after your birthday month. There are also special enrollment periods for those who qualify.

What's the difference between Medicare and Medicaid?

Medicare is federal health insurance primarily for people 65+ or with certain disabilities. Medicaid is a state/federal program providing health coverage to low-income individuals of all ages.

Do I need both Medicare and Medicaid?

If you qualify for both (dual eligible), having both can provide more comprehensive coverage with lower out-of-pocket costs. I can help determine what's best for your situation.

How much does your service cost?

There's no cost to you for my assistance. I'm compensated by the insurance companies, not by my clients.

What information do I need to bring to my appointment?

Please have your Medicare card (if you have one), list of medications, and information about any current coverage. If you're new to Medicare, just bring your basic personal information.

How often should I review my Medicare plan?

I recommend an annual review during the Open Enrollment Period (October 15-December 7) as plans and your needs may change each year.

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Medicare Advantage Plans

Medicare Advantage (Part C) plans are an all-in-one alternative to Original Medicare offered by private insurance companies approved by Medicare.

Key Features:

  • Includes all benefits of Original Medicare (Part A and Part B)
  • Often includes prescription drug coverage (Part D)
  • May include additional benefits like dental, vision, and hearing
  • Many plans include fitness programs (like SilverSneakers)
  • May have lower out-of-pocket costs than Original Medicare
  • Provider networks may be required (HMO, PPO plans)

Who It's Best For:

  • Those who want all coverage in one plan
  • People who want additional benefits beyond Original Medicare
  • Those comfortable with provider networks
  • Individuals looking to potentially lower healthcare costs
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Medicare Supplement (Medigap) Plans

Medigap policies help pay some of the healthcare costs that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles.

Key Features:

  • Works alongside Original Medicare (Parts A and B)
  • Standardized plans (labeled A through N) with consistent benefits
  • Helps cover out-of-pocket costs like deductibles and copays
  • No network restrictions - see any doctor that accepts Medicare
  • Does not include prescription drug coverage (need separate Part D)
  • Best to enroll during your 6-month Medigap Open Enrollment Period

Who It's Best For:

  • Those who want predictable healthcare costs
  • People who travel frequently or want provider flexibility
  • Those who want to minimize unexpected medical bills
  • Individuals who can afford higher premiums for lower out-of-pocket costs
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Medicare Part D (Prescription Drug Plans)

Stand-alone prescription drug coverage that works alongside Original Medicare to help lower medication costs.

Key Features:

  • Helps cover the cost of prescription medications
  • Offered by private insurance companies approved by Medicare
  • Each plan has its own formulary (list of covered drugs)
  • Different tiers with varying copayment amounts
  • Includes coverage in the "coverage gap" (donut hole)
  • Catastrophic coverage after you reach a certain out-of-pocket limit

Who It's Best For:

  • Anyone with Original Medicare who needs prescription coverage
  • Those taking regular medications
  • People who want to avoid the Part D late enrollment penalty
  • Individuals who don't have drug coverage through a Medicare Advantage plan
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Medicaid Managed Care

Comprehensive coverage for eligible low-income individuals and families, often including doctor visits, hospital care, and prescriptions.

Key Features:

  • Provides health coverage to low-income individuals and families
  • Administered by states according to federal requirements
  • Includes essential health benefits like hospital and doctor services
  • Often includes prescription drug coverage
  • May include dental and vision coverage
  • Low or no-cost coverage for eligible individuals

Who It's Best For:

  • Low-income individuals and families
  • Pregnant women
  • Children in low-income families
  • People with disabilities
  • Elderly adults with limited income and resources
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Dual Eligible Plans

Special plans for people who qualify for both Medicare and Medicaid, combining benefits from both programs.

Key Features:

  • For individuals eligible for both Medicare and Medicaid
  • Coordinated care that combines benefits from both programs
  • Often includes additional benefits not covered by Medicare alone
  • Low or no out-of-pocket costs
  • May include care coordination services
  • May include transportation to medical appointments

Who It's Best For:

  • Individuals who qualify for both Medicare and Medicaid
  • Those needing comprehensive coverage with low costs
  • People who would benefit from coordinated care
  • Individuals needing additional support services
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Special Needs Plans (SNPs)

Tailored Medicare Advantage plans for people with specific diseases or characteristics, offering specialized care.

Key Features:

  • Specialized Medicare Advantage plans for specific groups
  • Three main types: Chronic Condition, Institutional, and Dual-Eligible SNPs
  • Designed to meet the unique needs of the specific population
  • Includes all Medicare Part A and Part B benefits
  • Usually includes Part D prescription drug coverage
  • May include additional benefits tailored to the specific condition

Who It's Best For:

  • Individuals with chronic conditions like diabetes or heart failure
  • People who live in institutions like nursing homes
  • Those eligible for both Medicare and Medicaid
  • Individuals who would benefit from specialized care coordination