NJ Medicare advisor consulting with a senior client at home

Medicare

Advantage, Medigap, Part D — every NJ plan, side by side, in plain English.

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AEP·Upcoming Oct 15 – Dec 7

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Medicare choices

Two steps to your Medicare coverage.

After you enroll in Original Medicare (Parts A & B), you have two ways to round out your coverage. They're mutually exclusive — you pick one path.

Step
1

Enroll in Original Medicare.

Original Medicare

Provided by the federal government

Part A

Helps pay for hospital stays and inpatient care.

Part B

Helps pay for doctor visits and outpatient care.

Step
2

Decide if you need additional coverage. You have two ways to get it.

Option 1
Option 2

Add one or both of the following to Original Medicare:

Medicare Supplement (Medigap)

Offered by private companies

Helps pay some of the out-of-pocket costs that come with Original Medicare (the 20% Part B coinsurance, Part A hospital deductible, etc.).

Medicare Part D Plan

Offered by private companies

Helps pay for prescription drugs. Stand-alone PDPs are sold separately from your Medigap plan.

Or

Choose a Medicare Advantage plan:

Medicare Advantage Plan (Part C)

Offered by private companies

Combines Part A + Part B in one plan.

Usually includes prescription drug coverage (MAPD plans).

May offer additional benefits not provided by Original Medicare — dental, vision, hearing, fitness.

Not sure which path fits? A Yumi advisor will look at your doctors, your prescriptions, your budget, and your travel patterns before recommending one over the other.

Talk to a Yumi advisor

Compare your paths

Medicare Advantage, Medigap, or Original Medicare?

The three main ways to get Medicare coverage — at a glance. Specifics vary by plan; your Yumi advisor pulls the exact numbers for your ZIP before any enrollment.

Benefits & FeaturesMedicare AdvantageMedicare Supplement (Medigap)Original Medicare
Helps pay for hospital stays
Helps pay for doctor visits
Helps pay for preventive services
Helps pay for prescription drugs
Routine vision coverage
Routine hearing exam & hearing aids
Routine dental coverage
Annual out-of-pocket cost limitNo protection

Benefits vary by plan. Source: Medicare.gov coverage categories. Yumi advisors compare specific plan benefits in your NJ ZIP before any enrollment.

When you can enroll

Your annual enrollment windows.

Three windows govern when you can sign up for or change Medicare coverage. Miss them and you may face a Late Enrollment Penalty or have to wait until the next AEP.

Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
June
July
Aug

Annual Enrollment

Oct 15 – Dec 7

Add, drop, or switch any Medicare coverage for the next plan year.

Medicare Advantage Open Enrollment

Jan 1 – Mar 31

Already in MA? Switch to a different MA plan or back to Original Medicare — once.

Special Enrollment

Anytime — if you qualify

Triggered by life events: retirement, moving, losing coverage, qualifying disability.

Initial Enrollment Period (IEP): Your personal 7-month window when you first become eligible — 3 months before your 65th birthday month, your birthday month, and 3 months after. It starts and ends one month earlier if your birthday is on the 1st of the month.
Quality Indicator

CMS Star Ratings

CMS rates every Medicare Advantage and Part D plan on a 1–5 star scale each year, based on quality of care, customer service, member experience, and chronic condition management.

1
Poor
2
Below Avg
3
Average
4
Good
5
Excellent

We recommend 4-star plans and above. Higher-rated plans tend to have lower member complaints and better care outcomes. Verify any plan's rating at medicare.gov/plan-compare

Am I Eligible?

Most people become eligible for Medicare at age 65, but there are other qualifying circumstances as well.

Age 65 or Older

U.S. citizens and permanent legal residents who have lived in the U.S. for at least 5 continuous years are eligible at age 65.

Under 65 with Disabilities

If you have received Social Security Disability Insurance (SSDI) for 24 months, you automatically qualify for Medicare Parts A and B.

End-Stage Renal Disease (ESRD)

Individuals with permanent kidney failure requiring dialysis or a kidney transplant may qualify for Medicare regardless of age.

ALS (Lou Gehrig's Disease)

If you are diagnosed with ALS, you are automatically enrolled in Medicare Parts A and B starting the first month you receive disability benefits.

Get Your Medicare Quote

A licensed NJ Medicare advisor will review your options and tell you exactly which plans you qualify for — always free, no obligation.

Helps confirm Medicare eligibility and quote you accurately.

Helps us find plans that cover your doctors and prescriptions — both optional.

or call (201) 633-7713

No obligation. A licensed NJ advisor will reach out within 1 business day.

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