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Medicare Q&A

Medicare is not a one size fits all, and we want to equip you with the knowledge and tools to navigate the health system.

Intro to Medicare Part A&B.

What is Medicare Part C?

What is Medicare Part D?

What is a Medicare Supplement?

What's New in 2023?

What is a Medicare Broker?

How Does a Broker Get Paid?

How do I Sign Up for Medicare?

Penalties That May be Imposed.

How to Connect with a Medicare Broker.

Is Medicare Advantage right for you?

5 Reasons to consider Medicare Advantage

1) Less spent on health care compared to original Medicare and supplement plans

Many Advantage Plans, if not most, offer low (or no) deductibles and no premiums. Most Medicare Advantage plans also set an out-of-pocket limit each year. As if that wasn't enough, a study was published in the Journal of American Medical Association that found that those who were on Medicare Advantage plans spent significantly less on lab services and medical equipment.

2) Advantage Plans include non-Medicare benefits like vision, hearing, and dental

Straight Medicare includes part A (hospital insurance) and part B (medical insurance). Medicare Advantage plans are called part C, which usually includes benefits that straight Medicare does not cover. This can include benefits like dental, vision, hearing, transportation, gym privileges, chiropractic care, and more!

3) Advantage Plans include medication coverage

In addition to Medicare part A and B, there is also Medicare part D, for drug coverage. Part D is almost always covered under a Medicare Advantage plan, so you will have all of your medicines covered and have no need to purchase a Part D plan!

4) Coordinated care between primary care provider, specialists, and hospitals

Medicare Advantage makes taking care of your health easy! When you have a Medicare Advantage plan in Ventura county, you can be assigned to us as your primary care provider. We work very closely with any specialists that you see through Seaview to make sure that everyone is on the same page for your health needs.

5) All PMG doctors accept Medicare Advantage Plans

Many of our most popular doctors have closed patient panels due to high demand. However, if you have a Medicare Advantage plan, all doctors are ready and available to take care of your needs!

Accepted Insurances

Please note, if you do not see your insurance listed, we can still help!
Call (805) 702-8337

Medicare 65+

Supplements:

  • United Healthcare
  • Mutual of Omaha
  • Anthem Blue Cross
  • Humana
  • Blue Shield
  • Cigna
  • Aetna
  • If not listed call (805) 702-8337

Medicare Advantage Plans:

  • Anthem BC Dual Advantage (SNP)
  • WellCare
  • Alignment
  • Anthem Blue Cross Senior Medicare Preferred
  • Blue Shield 65+ 
  • Central Health Ventura Medicare Plan
  • Scan Health Plan
  • Secure Horizons
  • HumanaHumana SNP

Medicare + Medical (Medi Medi)

  • Call (805) 702-8337 to see if we accept your plan or to see if we can help you get set up on one, we do accept
  • If you do not also have Medicare, we, unfortunately, aren’t accepting your plan at this time.
  • We do not accept straight Medi-Cal currently.
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We accept Medicare part A+B and all Medicare Supplement plans. If you have any questions about Medicare, call (805) 702-8337

If you have any questions besides Medicare, please call (805) 702-8337.

Commercial Plans

  • Aetna
  • Blue Shield
  • Blue Cross
  • Cigna
  • Health Net
  • Pacificare (UHC)

We accept all PPO plans, including Tri-Care, if we are in network with your provider. Please call your insurance provider to make sure. Unfortunately, we are not able to check on our end.

If you do have any questions, please call (805) 702-8337.