Priority #3: Medicare Maze

Medicare Planning

Navigate the confusion and avoid expensive coverage gaps. Medicare has multiple parts, enrollment deadlines, penalties, and hidden costs that can hurt a retirement plan.

We make it simple: review your situation, compare your options, and help you understand the right coverage path—at no cost to you.

No obligation Plan comparison Clear Medicare guidance
Senior couple reviewing Medicare and retirement planning documents
$16,760 SNF gap days 21–100
$0 Assisted living covered by Medicare
$209Per Day: SNF Days 21–100
$16,760SNF Gap Days 21–100
100Max SNF Days Per Benefit Period
$0Assisted Living Covered
$0Memory Care Covered
5%Long-Term Care Costs Covered
$10,200Opdivo Example Yearly Gap
$12,900Darzalex Example Yearly Gap

What most people don’t know

Medicare Has Gaps That Surprise Families

Medicare can help with medical care, but it does not protect a retirement plan from every cost. The biggest danger is assuming it covers more than it actually does.

Days 1–20 Medicare pays 100%

Skilled nursing can be covered after a qualifying hospital stay.

Days 21–100 You pay $209/day

This can create roughly $16,720–$16,760 out of pocket.

After Day 100 Medicare pays nothing

You become 100% responsible for the cost.

Custodial Care $0 covered

Medicare covers zero custodial care like help with bathing, dressing, eating, or mobility.

Part B $185/month in 2025

Higher earners can pay more depending on income.

Drug Coinsurance No simple “ignore it” gap

High-cost drugs can still create painful out-of-pocket exposure.

Critical rule: You need 3 consecutive days as hospital inpatient, not observation, to qualify for skilled nursing coverage. Many people get denied because they were “under observation” instead of admitted.

How we close the gaps

Medicare Planning Is About Matching Coverage to Your Real Life

Plans change every year. Your doctors, prescriptions, health needs, and budget matter. We review the moving pieces and explain your options in plain English.

Medicare Supplement Plans

Help cover copays, coinsurance, and deductibles that Original Medicare does not fully cover.

Medicare Advantage Options

All-in-one plans that may include dental, vision, hearing, and additional benefits.

Part D Drug Coverage

Find plans that cover your specific medications and reduce avoidable prescription exposure.

Annual Plan Reviews

Plans change yearly. We help make sure you are still optimized before changes cost you money.

The biggest gap

What Medicare Does Not Cover

Medicare Supplements and Advantage plans help with medical costs, but they do nothing for the biggest retirement threat: long-term care.

That is why our Medicare planning always includes a conversation about long-term care coverage. You need both pieces to truly protect your retirement.

The Long-Term Care Reality

$0Medicare pays for assisted living
$0Medicare pays for memory care
5%Long-term care costs covered

Real Talk: Medicare helps with medical coverage, not custodial long-term care. A complete retirement plan needs both Medicare planning and long-term care planning.

Part B cancer treatment gaps

Some Drug Costs Can Hit Retirement Savings Hard

Part B can cover chemotherapy and cancer drugs, but 20% coinsurance can still create serious out-of-pocket exposure.

Opdivo ~$10,200/year

Example out-of-pocket exposure.

Darzalex ~$12,900/year

Example out-of-pocket exposure.

Rituxan ~$4,600/year

Example out-of-pocket exposure.

Medicare Supplement plans or critical illness insurance may help cover some of these gaps. The right option depends on your situation.

Simple Medicare planning process

We Make Medicare Easier to Understand

1

Review Your Situation

We look at your doctors, medications, budget, current coverage, and upcoming needs.

2

Compare Options

We compare Supplement, Advantage, and Part D options in plain English.

3

Protect the Bigger Picture

We connect Medicare decisions to long-term care and retirement protection planning.

Medicare questions

Common Medicare Questions We Can Answer

No. Medicare does not cover custodial long-term care, assisted living, or memory care.

Medicare may cover days 1–20 after a qualifying hospital stay, but days 21–100 can cost around $209 per day, creating roughly a $16,760 gap.

You generally need 3 consecutive inpatient hospital days to qualify for skilled nursing coverage. Observation status can create problems.

Part B can cover certain chemotherapy and cancer drugs, but 20% coinsurance can still create major out-of-pocket costs.

Yes. Plans, networks, formularies, premiums, and benefits can change every year.

Medicare Is Complex. We Make It Simple.

Review your situation, compare your options, and get enrolled in the right plan—without sales pressure or confusion.

Free consultation • No obligation • Honest answers