Bob Knows Medicare!

Independent Medicare

Health Insurance Agent

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25+ Years of Executive Pharmacy Leadership Experience

About Robert Vaughan:

Robert Vaughan is a highly respected Medicare independent agent who brings over two and a half decades of exceptional pharmacy executive leadership experience to the table. His extensive background in healthcare management, pharmacy operations, and Medicare places him at the forefront of the industry, making him the go-to advisor for individuals seeking comprehensive Medicare coverage solutions.

Professional Background:

Robert embarked on his illustrious career in healthcare as a dedicated pharmacist. Graduating with a Bachelor of Science (Pharmacy) and Master of Business Administration degree from Auburn University, he swiftly climbed the ranks within the pharmaceutical field. His unwavering dedication to enhancing healthcare accessibility, affordability, and quality led him to take on pivotal executive leadership roles.

Pharmacy Executive Leadership:

Throughout his distinguished career, Robert served as the Vice President of Pharmacy Operations for several prominent pharmacy chains. In these influential positions, he honed his expertise in strategic planning, healthcare regulations, and adeptly managed multifaceted teams. Robert's visionary approach played a pivotal role in optimizing pharmaceutical services, ensuring patient safety, and elevating the overall patient experience.

Transition to Medicare Independent Agent:

Driven by his passion for aiding individuals in making informed healthcare decisions, Robert successfully transitioned into the role of a Medicare independent agent. Leveraging his extensive background in pharmacy executive leadership, he specializes in guiding seniors and individuals with disabilities through the intricate landscape of Medicare.

Expertise as a Medicare Independent Agent:

Robert Vaughan's unique blend of pharmacy mastery and Medicare knowledge equips him to deliver tailored, client-centric Medicare solutions. He empowers his clients to comprehend their Medicare choices, select the most fitting plans, and expertly navigate the enrollment process. His personalized approach ensures that clients receive Medicare coverage that aligns perfectly with their healthcare goals and financial circumstances.

Client-Centered Philosophy:

Known for his unwavering commitment to exemplary customer service, Robert places his clients' best interests above all else. He dedicates the time needed to educate his clients about Medicare's intricacies, including Part A, Part B, Part C, and Part D, guaranteeing they have a thorough grasp of their benefits and alternatives.

Community Engagement:

Beyond his professional commitments, Robert is actively engaged in his local community. He generously volunteers his time to educate seniors about Medicare and organizes informative seminars and workshops to empower them in making informed healthcare choices.

Personal Philosophy:

Robert Vaughan holds firm in his belief that every individual should have access to top-tier healthcare. His profound dedication to improving healthcare outcomes, coupled with his unparalleled industry knowledge, positions him as an unwavering advocate for those navigating the multifaceted world of Medicare.

For comprehensive, personalized guidance on your Medicare journey, Robert Vaughan is the trusted Medicare independent agent with an impressive 25-year track record in pharmacy executive leadership. His dedication to his clients and his unwavering commitment to excellence make him the ultimate resource for all your Medicare needs.

Frequently Asked Questions

Who is eligible for Medicare?

You are eligible for Medicare if you are:

At least 65 years old.

Under 65 but have a disability.

Any age and have End-Stage Renal Disease (ESRD) or

Amyotrophic Lateral Sclerosis (ALS, also known as Lou

Gehrig's disease).

When can I enroll in Medicare?

Determine When to Enroll:

Initial Enrollment Period (IEP): Most people become eligible for Medicare when they turn 65.

Your IEP includes:

The three months before your 65th birthday.

The month of your 65th birthday.

The three months after your 65th birthday.

If you're not receiving Social Security benefits, you must actively enroll during your IEP.

If you are already receiving Social Security or Railroad Retirement benefits, you will be automatically enrolled in Medicare Part A and Part B during your IEP.

What if I miss my Initial Enrollment Period (IEP)?

General Enrollment Period (GEP):

If you missed your Initial Enrollment Period, you can sign up for Medicare during the General Enrollment Period, which runs from January 1st to March 31st each year. However, be aware that there may be late enrollment penalties for Part B coverage if you didn't enroll when you were first eligible.

How do I sign up for Medicare?

Enroll in Part A and/or Part B:

If you're not automatically enrolled, you can apply for Medicare:

Online through the Social Security Administration (SSA) website.

Be visiting your local Social Security office.

By calling the SSA at 1-800-772-1213.

How much does Medicare cost?

The cost of Medicare varies depending on which parts you choose and your income. Most people do not pay a premium for Part A, but there are monthly premiums for Part B and Part D. Medicare Supplement (Medigap) plans have monthly premiums. Medicare Advantage plans may also have monthly premiums.

Will I pay more for Medicare if my income is higher?

Yes, the cost of Medicare can vary based on your income. If your income is higher, you may pay more for Medicare.

Medicare has different parts, and the two main parts that can be affected by your income are:

Medicare Part B: This covers outpatient services, such as doctor visits and preventive care. Most people pay a standard monthly premium for Part B. However, if your income is above a certain threshold, you may be subject to an Income-Related Monthly Adjustment Amount (IRMAA). This means you'll pay an additional premium on top of the standard premium. The income thresholds are determined by the IRS and can change from year to year.

Medicare Part D: This covers prescription drug benefits. Like with Part B, if your income is above a certain threshold, you may pay an additional amount for your Part D premium. This extra cost is also known as the Income-Related Monthly Adjustment Amount (IRMAA).

The income thresholds that trigger higher premiums for both Part B and Part D are based on your Modified Adjusted Gross Income (MAGI) from two years prior. This means that your income in a specific year affects your Medicare premiums in a subsequent year. If your income decreases in the future, your Medicare premiums can also decrease.

To determine your specific Medicare premiums based on your income, you can refer to the Medicare website or contact the Social Security Administration. They will provide you with information about the premium amounts based on your income level.

Can I change my Medicare coverage?

Yes, you can change your Medicare coverage during the Annual Enrollment Period (AEP) from October 15 to December 7. You can also make changes during certain Special Enrollment Periods (SEPs) if you qualify.

What is the Annual Enrollment Period (AEP) for Medicare?

The Annual Enrollment Period (AEP) for Medicare, also known as the Medicare Open Enrollment Period, is an annual period during which Medicare beneficiaries can make changes to their Medicare coverage. It occurs from October 15th to December 7th each year.

During the AEP, Medicare beneficiaries have the following options:

Medicare Advantage Plan (Part C): You can switch from Original Medicare (Part A and Part B) to a Medicare Advantage Plan or switch from one Medicare Advantage Plan to another.

Medicare Prescription Drug Plan (Part D): You can join a Medicare Prescription Drug Plan, switch from one Part D plan to another, or drop your Part D coverage altogether.

Original Medicare (Part A and Part B): If you have a Medicare Advantage Plan, you can switch back to Original Medicare.

Medigap: If you have a Medicare Advantage Plan, you may be able to apply for a Medigap (Medicare Supplement) policy during certain circumstances.

It's important for Medicare beneficiaries to review their current coverage and needs during the Annual Enrollment Period to make any necessary changes for the upcoming year. Any changes made during this period take effect on January 1st of the following year.

What is the Medicare Advantage Open Enrollment Period (MA OEP)?

The Medicare Advantage Open Enrollment Period (MA OEP) is a specific enrollment period that allows individuals who are already enrolled in a Medicare Advantage plan to make certain changes to their coverage.

Here's what the Medicare Advantage Open Enrollment Period entails:

Timing: The Medicare Advantage Open Enrollment Period occurs annually from January 1st to March 31st.

Eligibility: This enrollment period is for individuals who are already enrolled in a Medicare Advantage plan (also known as Medicare Part C). It does not apply to those with Original Medicare (Part A and Part B) or those with standalone Medicare prescription drug plans (Part D).

What Could Be Done:

Switch Plans: During the MA OEP, individuals already in a Medicare Advantage plan could switch to a different Medicare Advantage plan. For example, you might want to switch to a plan with different coverage options, costs, or network providers.

Disenroll: You could also use this period to disenroll from your Medicare Advantage plan and return to Original Medicare (Part A and Part B). You’ll also be able to join a separate Medicare drug plan.

Limitations: There were some limitations to what you can do during the MA OEP. For instance, you cannot switch from Original Medicare (Part A and Part B) to a Medicare Advantage Plan, switch from one standalone Part D prescription drug plan to another or enroll in a Part D plan if you have Original Medicare.

One-Time Change: It's important to note that this is a one-time opportunity during the MA OEP. In other words, you couldn't make multiple changes or switch plans multiple times during this period. The changes you make will be effective on the first day of the month after the plan gets your request.

What is Medicare Advantage?

Advantage Plans (also known as Medicare Part C) are comprehensive plans that include the same benefits of Medicare Parts A and B plus additional coverage.

▪ Part A covers hospitalization, home care and other inpatient medical needs.

▪ Part B covers outpatient care such as doctor visits, medical tests, screenings and preventive care.

Regulated by Center for Medicare & Medicaid Services (CMS).

Medicare Advantage plans are administered through private insurers who typically give more coverage options.

Typically include drug coverage (also known as Medicare Part D).

May offer coverage in areas Original Medicare does not, such as:

▪ Routine dental care including x-rays, exams, and dentures.

▪ Vision care including glasses and contacts.

▪ Hearing care including testing and hearing aids.

▪ Wellness programs and fitness center memberships.

What is Medicare Supplement Insurance (Medigap)?

Original Medicare pays for many, but not all, health care services and supplies. Medicare Supplement Insurance (Medigap) is extra insurance you can buy from a private health insurance company to help pay your share of out-of-pocket costs in Original Medicare, like copayments, coinsurance, and deductibles. 

If you have a Medigap policy and get care, Medicare will pay its share of the Medicare-approved amounts for covered health care costs. Then, your Medigap policy pays its share. You pay the private insurance company a monthly premium for your Medigap policy in addition to the monthly Part B premium you pay to Medicare.

Medicare Supplement Insurance covers some of the gaps in Original Medicare (Medicare Parts A and B) coverage.

What is Medicare Prescription Drug Insurance (Part D)?

Medicare Part D helps cover the cost of prescription drugs. Part D is optional and only provided through private insurance companies approved by the federal government. However, Part D is offered to everyone who qualifies for Medicare. Costs and coverage may vary from plan to plan.

There are 2 ways to get Medicare Part D prescription drug coverage:

1) As a standalone prescription drug plan with Medicare: If you have Medicare Part A and Part B (also called Original Medicare), you can add a Part D prescription drug plan to your existing coverage.

2) As part of a Medicare Advantage plan (Medicare Part C): Medicare Advantage plans include all your Part A and Part B coverage. They may also include prescription drug insurance. Not all Medicare Advantage plans include prescription drug coverage, and you must already have Part A and Part B to qualify for Medicare Advantage.

Robert Vaughan, R.Ph, MBA

California License: #4291101

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Office Hours

9:00 AM - 5:00 PM

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Our Location

Oakdale, CA 95361

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Call Us Now

209-402-4958

Licensed Insurance Agent

Medicare has neither reviewed nor endorsed this information. Not connected with or endorsed by the United States government or the federal Medicare program.

We do not offer every plan available in your area. We represent a number of MA organizations, which offer products in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

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