Do you have a doctor you want to keep, or would you like help exploring someone new?
The care you already value matters. So does having room to consider a change.
When you are open to a change, Douglas can help you explore physicians he knows through professional relationships. Your preferences come first. Plan participation and appointment availability must be checked with the plan and practice.
A starting point, not an intake form
Keep my current doctor
I am open to a change
Help me explore a doctor
I am not sure yet
No doctor name or medical history is required here. We do not automatically send your information to practices or referral partners. A relationship is not a guarantee of clinical quality or coverage.
Two coverage paths. Different tradeoffs.
A + B
Medicare Original
Care from providers who accept Medicare, generally anywhere in the U.S. A separate Part D plan can cover prescriptions. Medigap may help with certain cost sharing for an additional premium.
Without supplemental coverage, Original Medicare has no annual out-of-pocket limit for covered Part A/B services.
C
Medicare Advantage
A private plan provides Part A/B benefits; most include Part D. Networks, referrals and prior authorization can shape access. Compare the exact plan, not only its name.
Plan rules include an annual limit on covered Part A/B out-of-pocket costs. You still pay the Part B premium. Medigap is not used with Advantage.
Neither path is universally better. Check doctors, drugs, total costs, travel needs and enrollment rights together.
Still working? Ask before you act.
“I have insurance through work” is a starting point, not the complete answer.
Current-employment coverage can create different Part B timing options. Employer size and how the coverage pays matter. COBRA and retiree coverage are not the same as current-employment coverage for the usual Part B special enrollment rules.
Which coverage pays first, and does employer size change that?
Is the prescription coverage creditable?
When will work or coverage end? Are there HSA contributions to coordinate?
Already enrolled? Review what changed.
Start with your plan’s Annual Notice of Change, the care you expect to use, and any change to doctors or prescriptions. A review does not automatically mean switching.
Annual health and drug plan elections
October 15 to December 7 generally allows changes for the following January 1. This is not the same as your initial Part A/B enrollment. Other enrollment periods may apply to your situation.
Medigap has its own rules
The federal six-month Medigap open enrollment period generally begins when you are at least 65 and enrolled in Part B. It does not recur every fall. State protections and guaranteed-issue rights require a separate review.
Imagine someone turning 65 who is still covered through a spouse’s current job and wants to keep a specialist. Instead of choosing a plan from its premium, first ask the benefits administrator how coverage coordinates. Then verify the specialist against the exact coverage options being considered. Until those answers are checked, the next step is verification, not enrollment.
Questions worth asking.
Do I need to know which plan I want?
No. Begin with your timing, doctor preferences, prescriptions and budget questions. Use an approved private process for detailed information, not a website message.
Can you guarantee I can keep my doctor?
No. Exact plan participation, location and appointment availability must be verified. Doctor preference is a starting point, not a coverage promise.
What about a plan you do not represent?
Douglas does not represent Kaiser or IEHP and cannot offer every plan. A plan outside his representation may still be appropriate to consider. Check directly with that plan, Medicare.gov or SHIP.
Are the guides tied to buying coverage?
No. The public guides and tools are available without buying insurance or booking an appointment. Using a tool does not give permission for marketing or information sharing.
Your questions are a good place to start.
Start with your enrollment timing, the care you value, and what you want to understand. No need to choose a plan before we speak.
This starts a conversation, not enrollment or a completed plan.
Southern California appointments by arrangement. Remote appointments where permitted. English or Spanish.
Arrange a conversation directly
Call or open a text draft to find a time with Douglas.