How do I find a Medicare expert?

Asked by: Luz Mills II  |  Last update: October 7, 2025
Score: 4.4/5 (54 votes)

For help understanding your Medicare options and how to save money on costs, you can contact your local State Health Insurance Assistance Program (SHIP) by calling 877-839-2675 or visiting shiptacenter.org.

Who is the best person to talk to about Medicare?

Talk to someone
  • Call us at 1-800-MEDICARE (1-800-633-4227). Help from Medicare is available 24 hours a day, 7 days a week, except some federal holidays. ...
  • Contact your local State Health Insurance Assistance Program (SHIP) – Get free personalized health insurance counseling.

Do you need a referral to see a specialist on Medicare?

Original Medicare benefits through Part A, hospital insurance and Part B, medical insurance, do not need their primary care physician to provide a referral in order to see a specialist. Complications with coverage can occur if you see a specialist who is not Medicare-approved or opts out of accepting Medicare payments.

How much does a Medicare advisor cost?

Medicare brokers such as Boomer Benefits get paid by the insurance companies they represent. And you pay exactly the same rate for your insurance if you use a Medicare consultant (broker). There is no extra fee or cost for enrolling through a broker. You will never pay a fee for our help.

What is the best resource to understand Medicare?

If you have not looked at the Medicare website already, medicare.gov is a great place to start. They have considerable information, and it is as reliable and accurate as you will find.

8 Reasons to DELAY Medicare Past 65 That Will Save You Thousands and Avoid ALL Penalties

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What are the 6 things Medicare doesn't cover?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

What does a Medicare consultant do?

The role of Medicare advisors is to help individuals understand and navigate the Medicare system. Advisors can help with everything from understanding Medicare eligibility requirements to choosing the right coverage options. They can also provide guidance on how to appeal Medicare decisions and file claims.

How to find a Medicare expert?

For help understanding your Medicare options and how to save money on costs, you can contact your local State Health Insurance Assistance Program (SHIP) by calling 877-839-2675 or visiting shiptacenter.org.

Why do agents push Medicare Advantage plans?

Why do brokers push Advantage plans so hard? It's money. Sorry, that's the honest truth. The commission for an Advantage plan can be roughly double that of the most popular Medicare supplement plan and it's paid all at one time.

What is the best Medicare plan that covers everything for seniors?

Original Medicare with Medigap likely offers the most comprehensive coverage, but it may also be the most costly. A person can consider their income and how much they are able to spend before choosing a Medicare plan. Original Medicare with Medigap also offers a lot of flexibility when choosing a doctor or specialist.

Does everyone have to pay $170 a month for Medicare?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

Why are people leaving Medicare Advantage plans?

Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.

What is the biggest problem with Medicare?

The biggest challenges reported by those in Traditional Medicare and Medicare Advantage: Out-of-pocket medical costs and health services they needed but weren't covered. “The gaps in Medicare coverage can really be notable,” says Jacobson.

What are the three requirements for Medicare?

Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) are available to the individuals below:
  • Age 65 or older.
  • Disabled.
  • End-Stage Renal Disease (ESRD)

What are the top 5 medicare supplement plans?

💬 From our Nerds: What are the top five Medicare supplement plans? "Based on NerdWallet's Medigap rubric, I picked five best Medicare Supplement Insurance companies for 2025: AARP/UnitedHealthcare, Mutual of Omaha, State Farm, Anthem and Blue Cross Blue Shield.

Why is Social Security no longer paying Medicare Part B?

There could be several reasons why Social Security stopped withholding your Medicare Part B premium. One common reason is that your income has exceeded the threshold for premium assistance. Another reason could be that there was a mistake or error in your records.

What Medicare is free at 65?

People age 65 or older, who are citizens or permanent residents of the United States, are eligible for Medicare Part A. You're eligible for Part A at no cost at age 65 if 1 of the following applies: You receive or are eligible to receive benefits from Social Security or the Railroad Retirement Board (RRB).

Can I go to any specialist with Medicare?

A person who is enrolled in Original Medicare does not need a referral from a primary care doctor to see a specialist. However, a person must check that the specialist is Medicare-approved and currently accepts Medicare assignments.

Who can I talk to about Medicare in my area?

1-800-MEDICARE (1-800-633-4227)

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

Does Medicare cover dental?

In most cases, Medicare doesn't cover dental services like routine cleanings, fillings, tooth extractions, or items like dentures.

How do you find a Medicare advisor?

Each state has at least one Medicare State Health Insurance Assistance Program (SHIP). They provide trusted, unbiased advice on your Medicare options and your rights. They're funded by the federal government and free to you. Find your local SHIP by calling (877) 839-2675.

What is the difference between a senior consultant and a consultant?

Senior consultants are hired with more years of industry experience. They usually have deep expertise in their field, existing leadership skills, experience growing a client base, or prior consulting experience. They can step into their role and have an immediate impact on the firm.

Do Medicare advisors charge a fee?

Medicare brokers offer their planning services for free because the insurance company will pay them. All insurance companies offer comparable rates to brokers, meaning brokers get paid the same amount no matter which plans you decide to go with. So they are always unbiased.