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T. Mann Financial Helps with
Oregon Medicare Plans

We aim to help Oregonians navigate Medicare and find insurance that fits their needs.

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2027 Medicare open enrollment runs October 15 through December 7, 2026. Get help reviewing Medicare Advantage, Medicare Supplement, and Part D options with a licensed insurance agent based in Springfield, Oregon.

The Medicare basics in Oregon

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How T. Mann Financial can help you with Medicare

Oregon specific info on low-income assistance

Who qualifies for Medicare?

Medicare is generally available to:

  • U.S. citizens and lawful permanent residents

  • Who are age 65 or older

  • As well as to some younger individuals with qualifying disabilities or End-Stage Renal Disease.

 

If you do not qualify for Medicare, you may be eligible for health coverage through the Marketplace. Learn more about Marketplace Health Insurance in Oregon.

Older Oregonian couple reviewing Medicare options together.

We have access to a wide range of insurance options in Oregon.

*T. Mann Financial currently only provides insurance services to Oregon residents. T. Mann Financial does not offer every plan available in Oregon. Currently we represent more than 10 organizations which offer more than 30 Medicare plans in Lane County. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Click here to request an Insurance Quote today.

Medicare Basics for Oregonians

 

Once Oregonians understand the basics, it's much easier to select the right plan for you. 

• Medicare Basics for Oregonians

The Four Parts of Medicare

Graphic showing the four parts of Medicare: A, B, C, and D, with their coverage types.

Part A

Coverage

Inpatient Hospital

Skilled Nursing*

Home Health

Hospice Care

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Requirements

Must be 65 years old or have a qualifying disability​

 

Administered By

The US Government

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Cost

$0**

*for a limited time and under specific circumstances

**Most people pay $0. Others will pay more depending on how long they've paid Medicare taxes.

Part B

Coverage

Doctor Visits

Outpatient Rehab

Urgent Care

Durable Med. Equipment

Outpatient Hospital

Lab Tests & X-Rays

Preventative Services

Ambulance Services

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Requirements

Must be 65 years old or have a qualifying disability

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Administered By

The US Government

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Cost

$202.90 (2026)*

TBD (2027)**

*People with higher incomes can be required to pay more. People with low incomes may have this paid by the state.

**CMS typically announces official figures in November.

Part C

Coverage

An "all in one" coverage that bundles everything from Parts A and B and sometimes Part D

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Requirements

Must be enrolled in Part A and B to enroll

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Administered By

Private Companies

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Cost

Vary by plan*

*Private companies offer plans at different costs and some low-income individuals can receive help with these costs in some situations.

Part D

Coverage

Helps cover the cost of prescription drugs

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Requirements

Must have Part A or B to enroll

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Administered By

Private Companies

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Cost

Vary by plan*

*Private companies offer plans at different costs and some low-income individuals can receive help with these costs in some situations.

Understanding IRMAA 

What higher-income Oregonians should know about Medicare surcharges

Close-up of a Medicare card representing Part B and Part D coverage.

IRMAA stands for Income-Related Monthly Adjustment Amount. It is a surcharge that some Medicare beneficiaries pay in addition to the standard Medicare Part B and Part D premiums. Whether you pay IRMAA in a given year is based on the Modified Adjusted Gross Income (MAGI) from your tax return two years prior.

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For example, for 2026, Medicare looks at your 2024 MAGI. MAGI is generally your Adjusted Gross Income (AGI) from your federal return plus any tax-exempt interest income (such as interest from municipal bonds).

Important things to know about IRMAA

  • IRMAA is a 'cliff' surcharge. Going one dollar over a threshold places you in the next higher bracket for the full year.

  • Surcharges apply to both Original Medicare and Medicare Advantage enrollees.

  • The Part B surcharge is typically deducted from your Social Security check. The Part D surcharge is billed separately by Medicare, not by your Part D plan.

  • If you have experienced a life-changing event (such as retirement, marriage, divorce, death of a spouse, or loss of pension income), you may appeal using Social Security Form SSA-44.

2026 IRMAA Brackets (based on 2024 MAGI)

For example, 2027 IRMAA will be based on your 2025 MAGI. MAGI is generally your Adjusted Gross Income (AGI) from your federal return plus any tax-exempt interest income (such as interest from municipal bonds). CMS typically publishes the 2027 IRMAA brackets in November. Until then, the 2026 brackets below remain in effect for 2026 premiums.

Table showing 2026 IRMAA income brackets and Part B and Part D surcharges.

Source: Centers for Medicare and Medicaid Services (CMS) 2026 Medicare Parts A and B Premiums and Deductibles announcement. The top bracket ($500,000 single / $750,000 joint) is currently frozen and is not annually inflation-adjusted until 2028.

Types of income that can push you into IRMAA

Person reviewing tax documents and a laptop while estimating Medicare IRMAA income

  • Wages and salaries

  • Taxable portion of Social Security benefits

  • Distributions from Traditional IRAs, 401(k)s, and other tax-deferred accounts, including Roth conversions

  • Interest (taxable and tax-exempt) and dividends

  • Capital gains, including those from the sale of a home or business

  • Pension, annuity, rental, and royalty income

  • Business income

Common Medicare Pathways Oregonians Use

While there are many potential Medicare pathways we will only break down the most common. An example of another pathway would be Oregon Veterans who receive prescription benefits through the VA and don't require a prescription coverage. If you have a less common situation please let us know.

Flowchart showing the most common Medicare enrollment pathways used by Oregonians.

Types of Medicare Supplements

Compare Medigap plan benefits What each Medicare Supplement (Medigap) plan covers for different Medicare services Plan covers 100% of this benefit Not covered; you pay this cost % Plan covers this percentage; you pay the rest N/A Not applicable Medigap pays coinsurance only after the deductible is met, unless the plan also covers the deductible. Medigap benefit Plan A Plan B Plan C Plan D Plan F* Plan G* Plan K Plan L Plan M Plan N Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used Part B coinsurance or copayment 50% 75% *** Blood (first 3 pints) 50% 75% Part A hospice care coinsurance or copay 50% 75% Skilled nursing facility care coinsurance 50% 75% Part A deductible 50% 75% 50% Part B deductible Part B excess charge Foreign travel emergency (up to plan limits) 80% 80% 80% 80% 80% 80% Out-of-pocket limit** N/A N/A N/A N/A N/A N/A $8,000 in 2026 $4,000 in 2026 N/A N/A Not everyone can buy Plan C or Plan F. Eligibility depends on when you first became eligible for Medicare. *Plans F and G also offer a high-deductible version in some states. You pay up to $2,950 in 2026 for Medicare-covered costs (coinsurance, copayments, and deductibles) before the policy pays anything. **Plans K and L pay 100% of covered services for the rest of the calendar year after you meet the out-of-pocket limit and the Part B deductible ($283 in 2026). The out-of-pocket limit is $8,000 for Plan K and $4,000 for Plan L in 2026. ***Plan N pays 100% of Part B coinsurance. You pay a copayment of up to $20 for some office visits and up to $50 for emergency room visits when you are not admitted as an inpatient. Source: Medicare.gov, Compare Medigap plan benefits, 2026 (accessed 09/30/2026)

Oregon's Medicare Supplement Birthday Rule

Oregon's birthday rule: If you already have a Medicare Supplement, Oregon lets you switch to a policy with the same or lesser benefits starting 30 days before your birthday and for 30 days after, without new health questions.

Why Oregonians Might Choose a Medicare Path

Original Medicare + PDP Plan

Cost

Your Part B premium ($202.90 in 2026) plus a Part D premium. CMS projects the average stand-alone Part D premium at about $36 per month in 2027; your plan's premium may be higher or lower.* 

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Pros

Flexibility to go wherever Medicare is accepted

 

Cons

No annual out-of-pocket maximum on Part A and Part B costs, so a major illness could lead to large bills.

*People with higher incomes can be required to pay more and others will pay more depending on how long they've paid medicare taxes. Some people with low-income might qualify for assistance and be required to pay less or even nothing for this coverage.

Original Medicare + PDP and Med Sup

Cost

Your Part B premium, a Part D premium, and a Medicare Supplement premium. Supplement premiums vary by plan letter, age, and insurer, so we quote them for your situation.* 

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Pros

Broader coverage for most Medicare-approved medical expenses.

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Cons

Relatively high monthly premium costs and complexity

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*People with higher incomes can be required to pay more and others will pay more depending on how long they've paid medicare taxes. Some people with low-income might qualify for assistance and be required to pay less or even nothing for this coverage.

Medicare Advantage Plan (MAPD)

Cost

Many plans have a $0 monthly premium, but you still pay your Part B premium. Some plans charge an extra monthly premium, and you pay copays or coinsurance when you use care.* 

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Pros

All-inclusiveness, relative low cost, and additional plan benefits

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Cons

Must receive care within networks such as HMOs and PPOs

*People with higher incomes can be required to pay more and others will pay more depending on how long they've paid medicare taxes. Some people with low-income might qualify for assistance and be required to pay less or even nothing for this coverage.

Plan rules to check before you enroll

  • In-network PCP- Some plans may require you to have an in-network PCP.

  • Referral requirements- Some plans may require a referral to see specialists.

  • Step Therapy- Some plans may require you to try a different drug as a first step.

  • Prior Authorizations- Some plans may require prior authorizations for some drugs and procedures. 

  • Formulary & Quantity Limits- Some plans may limit the specific drugs and the amount of the drugs they will cover. 

  • Reimbursements- Some plans may require you to pay upfront and then request reimbursement for covered care. 

  • In-network only coverage- Some plans may limit coverage to in-network providers only.

Transition Supply Process

A transition supply is a temporary one-time supply of a medication that a Medicare plan offers when you switch plans or if your current plan no longer covers a drug you're using. This allows you to get a 30-day supply of your prescription to avoid gaps in treatment while you work with your doctor to find an alternative drug or to request coverage.

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Exception Process

If the medication you need isn't covered by your Medicare plan or if there are special restrictions (like prior authorization), you can request an exception. This process involves:

 

  • Requesting an Exception: Either you or your doctor can ask the plan to make an exception to cover the drug.

  • Submitting Supporting Information: Your doctor will need to provide medical reasons for why you need that specific drug instead of alternatives.

  • Plan Review: The Medicare plan reviews the request and, if approved, will cover the medication as an exception.

 

The goal of both the transition supply and exception processes is to make sure you have access to needed medications without interruptions, while still following Medicare's coverage rules.

What's changing for Medicare in 2027

Part D prescription cost limits for 2027 Standard benefit amounts set by Medicare, 2026 compared with 2027 Maximum standard deductible 2026 $615 2027 $700 Many plans set a lower deductible, and some have no deductible at all. Annual out-of-pocket cap 2026 $2,100 2027 $2,400 After the cap, covered Part D drugs cost $0 for the rest of the year. Monthly premiums do not count toward the out-of-pocket cap. Source: CMS, CY 2027 Medicare Advantage and Part D Rate Announcement, 2026

​​​Part D deductible: For 2027, Part D plans can set a deductible of up to $700 (up from $615 in 2026). Many plans set a lower deductible or none at all.

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Part D out-of-pocket cap: The annual cap on out-of-pocket costs for covered Part D drugs rises to $2,400 in 2027 (it was $2,100 in 2026). Once you reach the cap, covered Part D drugs cost $0 for the rest of the year. Premiums do not count toward the cap. The cap applies to stand-alone Part D plans and to drug coverage in Medicare Advantage plans.

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Stand-alone Part D premiums: A temporary federal program that lowered premiums for some stand-alone Part D plans in 2025 and 2026 ends after 2026. Your plan's 2027 premium may go up or down, so review your Annual Notice of Change.

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Negotiated drug prices: Medicare's negotiated prices for a second group of prescription drugs take effect January 1, 2027.

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Medicare Prescription Payment Plan: You can still choose to spread your out-of-pocket drug costs into monthly payments across the year. If you used it in 2026, confirm with your plan how it carries into 2027.

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Source: Centers for Medicare & Medicaid Services, CY 2027 Rate Announcement (April 2026), 2027 Part D Bid Information (July 2026), and 2027 Medicare Advantage and Part D landscape release (September 2026).​

How Part D drug coverage works in 2027 Three stages, with no coverage gap 1 Deductible You pay the full cost of covered drugs until you meet your plan's deductible (up to $700 in 2027). 2 Initial coverage You pay a copay or coinsurance, and your plan pays the rest of the cost of covered drugs. 3 Catastrophic coverage Once your out-of-pocket costs reach $2,400, you pay $0 for covered drugs for the rest of 2027. Premiums do not count toward the $2,400 cap. You can choose to spread your drug costs across the year through the Medicare Prescription Payment Plan. Source: CMS, CY 2027 Medicare Advantage and Part D Rate Announcement, 2026
T. Mann Financial Medicare

How T. Mann Financial can help you with Medicare

T. Mann Financial helps Oregonians with Medicare through individually licensed and appointed insurance agents. Medicare Advantage, Medicare Supplement, and Part D plans typically pay commissions to the agent based on enrollment. Medicare itself costs the same whether you enroll on your own or work with a licensed agent.

Step 1
T. Mann Financial can help you identify when to enroll in Medicare

IEP

Initial Enrollment Period

7-month period beginning 3 months before your 65th birthday and ending 3 months after.

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During this period you can

Enroll in Part A, Part B, Med Sup, Medicare Advantage, and/or Part D

AEP

Annual Enrollment Period

Oct. 15th-Dec. 7th annually

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During this period you can

join, switch, or drop a Medicare Advantage or Part D plan, or return to Original Medicare.

GEP

General Enrollment Period

Jan. 1st-March 31st annually

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During this period you can

Enroll in Part A, Part B if you did not enroll when first eligible (late enrollment fee may apply)

SEP

Special Enrollment Period

Situations like employment coverage ending can create a special period that can sometimes last up to 8 months to enroll.

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During this period you can

Enroll in Part A, Part B, Med Sup, Medicare Advantage, and/or Part D

Some things to note when selecting your election period:

  • There is a Medicare Advantage Open Enrollment Period (OEP) available to MA enrollees who wish to make a one-time change to their MA plan between Jan 1st and March 31st.

  • Enrollment in Part A and Part B can be automatic if you are already receiving social security.

  • Some people may be automatically enrolled in Medicare after receiving disability benefits for 2 years. 

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​If enrollment in Part A or Part B is not automatic for you, please consider

  • Applying online at ssa.gov/medicare

  • Calling Social Security at 1-800-772-1213, Monday through Friday, 8 AM to 7 PM local time

  • Visiting your local Social Security office

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Effects that enrollment may have on other coverage

In some cases the beneficiary is disenrolled from their current health coverage (e.g., another MA plan, Medigap).

 

Medicare Advantage plans are not "riders" but full plans

 

Medicare Advantage plans operate on a calendar year basis

Benefits may change on January 1 of the following year.


"Evidence of Coverage" provides all of the costs, benefits, and rules for plans

Medicare late enrollment penalties: what waiting can cost

Medicare late enrollment penalties What signing up late can add to your monthly premium Part A Only if you pay a Part A premium 10% added to your monthly Part A premium How long it lasts Twice the number of years you didn't sign up Example 2 years late = 4 years of the higher premium Part B Medical insurance 10% for each full year you could have had Part B but didn't How long it lasts As long as you have Part B Example 2 years late in 2026: $202.90 becomes $243.50 per month Part D Prescription drug coverage 1% of the national base premium for each month without creditable drug coverage How long it lasts As long as you have Medicare drug coverage Example 14 months late in 2026: about $5.50 more per month How to avoid them: sign up when you are first eligible, or keep qualifying employer coverage and creditable drug coverage until you enroll. A gap of 63 days or more can trigger the Part D penalty. Source: Medicare.gov, Avoid late enrollment penalties, 2026

If you don't sign up for Medicare when you're first eligible, you may pay a higher premium later. These penalties are added to your monthly premium, and two of them can last for as long as you have the coverage.

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Part A: Most people don't pay a Part A premium, so this penalty doesn't apply to them. If you do have to buy Part A and sign up late, your premium may go up 10% for twice the number of years you didn't sign up.

 

Part B: Your premium goes up 10% for each full year you could have had Part B but didn't sign up. The penalty lasts as long as you have Part B. For example, waiting two years would raise the 2026 standard premium from $202.90 to $243.50 per month.

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Part D: You may owe a penalty if you go 63 days or more without Medicare drug coverage or other creditable drug coverage after you're first eligible. The penalty is 1% of the national base beneficiary premium for each month you went without coverage, and it lasts as long as you have Medicare drug coverage, even if you switch plans.

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How to avoid them: Sign up during your Initial Enrollment Period, or if you're still working, keep your employer coverage and enroll during your Special Enrollment Period when it ends. People who qualify for Extra Help don't pay the Part D penalty. Not sure whether your current coverage counts? We can help you check before a deadline passes.

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Source: Medicare.gov, Avoid late enrollment penalties.

Step 2
T. Mann Financial can help you assess your unique needs

Older adult picking up prescriptions at a pharmacy counter while reviewing Medicare drug coverage

Information we will gather together

  • Annual Notice of Change (ANOC)

  • Any letters about Extra Help, Medicaid, or a Medicare Savings Program

  • Lists of:

    • Medications, and their dosage and frequency

    • Preferred providers such as doctors and clinics

    • Preferred pharmacies

    • Current health conditions

    • Upcoming Procedures

  • An idea of how much you currently use medical services

  • Your Medicare #

  • Your income information if you are interested in assistance programs.

Step 3
T. Mann Financial can help enroll you in the plans that you select

Side-by Side Medicare Plan Comparisons 

First T. Mann Financial may utilize Medicare.gov and other tools to narrow down the plan options available to you and then to run a side-by side comparison of your top choices.

Screenshot of the Medicare.gov plan comparison tool used to compare Oregon Medicare plans.

Then we will cover plan specifics like:

Star Ratings (based on things like access to care and customer satisfaction)

Plan Networks such as HMOs and PPOs. ​2027 Star Ratings will be available on Medicare.gov on or around October 8, 2026.

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Confirm your doctors, pharmacies, and clinics are in-network

Confirm your prescriptions are a part of the plan's formulary

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Once you have made your selection we help you enroll

Enrollment in most cases can be completed online, over the phone, by email, or in person.

*Please note that an SOA (Scope of Appointment) must be signed at the start of any appointment where medicare is discussed and is different than an enrollment application. A SOA does not obligate you to enroll.

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Once Enrolled

  1. T. Mann Financial will track your application

  2. Can help make sure you get your ID/member numbers

  3. Can assist you with plan questions throughout the year

  4. Reviews your plan annually to make sure it is still a good fit

Your 2027 Medicare plan review checklist Work through these before open enrollment closes Read your Annual Notice of Change (ANOC) letter Confirm your drugs are on your plan's 2027 formulary Check that your doctors and pharmacies stay in network Compare 2027 premiums, deductibles, and copays Review 2027 Star Ratings on Medicare.gov Make any changes by December 7, 2026 Source: CMS, 2026

Know your rights!

Filing a Complaint and Canceling Your Enrollment

We are here to make your Medicare experience as smooth as possible. If you have a concern or problem, you have the right to file a complaint and to cancel your enrollment if needed.

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Filing a Complaint
If you’re unhappy with any part of your Medicare plan or the service you've received, you can file a complaint:

1. Call Us: Call our office at 541-583-0093, and we will work to address your concern quickly.

2. Contact Medicare: Submit a complaint at Medicare.gov or call 1-800-MEDICARE (1-800-633-4227).

 

Canceling Your Enrollment
If you decide that your current plan isn’t right for you:

  1. You have the right to cancel your enrollment at any time during the appropriate enrollment periods.

  2. Simply call our office, and we’ll help guide you through the cancellation process or provide information about other options that may work better for you.

We want you to feel comfortable and confident in your healthcare choices. Contact us for any assistance or questions you may have.

Oregon Specific Detail
Sphere on Spiral Stairs

Oregon specific info on low-income assistance

This information made available by Oregon SHIBA (Senior Health Insurance Benefits Assistance).

2026 Oregon Medicare Assistance Chart

Information is provided by the Oregon Senior Health Insurance Benefits Assistance Program (SHIBA)

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*Please note that Medicaid long-term care eligibility has different income cap, asset limits, and recapture provisions. 

2026 Oregon Medicare assistance chart showing income and eligibility thresholds for low-income assistance programs.

Figures shown reflect the most recent Oregon Senior Health Insurance Benefits Assistance Program (SHIBA) fact sheet available as of 2026.04.22. Medicare Savings Program eligibility is redetermined each March. For current figures, please visit Oregon SHIBA.

Breaking down Oregon's 2026 Medicare Savings Programs

These are the official Oregon Department of Human Services figures for March 2026 through February 2027

QMB: Individual below $1,330/month; Married couple below $1,804/month (100% FPL)
SLMB (SMB in Oregon): Individual up to $1,596/month; Married couple up to $2,164/month (120% FPL)
QI (SMF in Oregon): Individual up to $1,796/month; Married couple up to $2,435/month. Oregon may close enrollment in this program if it reaches capacity.
Asset limits: Oregon does not apply asset limits for MSPs (confirmed as of January 2026)

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T. Mann Financial & Todd Mann offer Investment Advice through Todd Mann Financial Services Inc., a registered investment adviser located in Springfield Oregon.  Additional information about Todd Mann Financial Services Inc. is available on the SEC’s website at  www.adviserinfo.sec.gov. Insurance products and services are offered and sold through Todd Mann Financial Services, Inc. and individually licensed and appointed insurance agents.

 

Information presented is for educational purposes only and does not intend to make an offer or solicitation for the sale or purchase of any specific securities, investments, or investment strategies. Investments involve risk and, unless otherwise stated, are not guaranteed. Be sure to first consult with a qualified financial adviser and/or tax professional before implementing any strategy discussed herein. Past performance is not indicative of future performance.​

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The reference to fee-only services are in regards to wealth management and financial planning only. Insurance services may result in commissions paid to T. Mann Financial. 

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Although the firm does not charge a fee for the complimentary initial 30-minute consultation, the consultation is intended to result in establishing an advisory relationship.

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