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Questions

The questions people hesitate to ask out loud.

Every one of these gets asked at our table, usually prefaced with an apology for asking. No apology needed. If a question about your own money and your own medications feels awkward, that is a sign somebody has been unclear with you, not a sign you should have known.

Ask your local pharmacist about usWe do not pick plans around pharmaciesYour doctors checked by nameAsk what a plan pays us
A Medicare conversation across a table
Started by pharmacists Covered is not the same as affordable. A pharmacist knows the difference.

If you only read one section

The four questions that cost people the most money.

Everything else on this page is useful. These four are the ones where a wrong assumption has a price tag attached.

  • Will I be penalized for enrolling late, and is it permanent? Usually yes and often yes. See the penalties page.
  • Is my Medicare Supplement window really one time only? Yes. Six months, once, and it does not come back.
  • Does my plan still cover the drugs I take? Formularies change every January without anyone calling you.
  • Am I eligible for help paying premiums? Far more people are than claim it, and the limits are higher than most assume.
Read the full penalties breakdown

Working with us

What it costs, what we get paid, and what we will not do.

The commission question is the one people are most reluctant to ask and the one we most want them to ask. Ask us what any plan pays us and we will tell you the number. That is the whole policy.

  • There is no charge to you. We are paid by the insurer if you enroll, and your premium is identical whether you use a broker or enroll on your own.
  • We do not pick plans around pharmacies. If the best plan for your medications means filling somewhere else, we will say so.
  • We do not send Medicare solicitation mail. Not once.
  • Plenty of the plans we review are already the right plan. We tell people that and send them home.

Coverage choices

Advantage or Supplement is the real fork in the road.

This is the decision that is hardest to undo, because moving from Medicare Advantage to a Medicare Supplement later can mean a health review, and health has a way of changing in the years in between.

It deserves more than a five-minute comparison of premiums, and it is the conversation we spend the most time on.

  • Medicare Advantage bundles your coverage into one plan with a network, usually with a lower premium and extra benefits, and a yearly out-of-pocket maximum.
  • Original Medicare with a Supplement usually costs more monthly and gives you far broader provider access with more predictable costs when you use care.
  • The catch is which way you can go later. Joining an Advantage plan is easy at any Open Enrollment. Going back to a Supplement can mean a health review, and the company is allowed to say no.
  • There is no universally right answer here. It depends on your doctors, your medications, your travel, your budget and how much unpredictability you can live with.

Doctors and prescriptions

This is the part we check line by line.

Plan marketing talks about networks in general. General is not useful when it is your cardiologist. We look up your specific providers by name and price every one of your medications by tier under each plan before we name a plan.

  • Whether the plan covers your drug at all is the easy half. The cost is in the rest: which price tier the plan puts it in, how much it will release at one time, whether it makes you try a cheaper drug first, and whether the plan has to approve it before the pharmacy can fill it.
  • Plans charge less at some pharmacies than others, and that can quietly cost you more at the pharmacy you already use.
  • Networks and formularies can both change on January 1, even if you keep the same plan and the same card.
  • If a prescription came back higher than you expected this year, that is the plan, not the pharmacy.
Get your current plan checked

What people say

What people said afterwards.

5.0 from 5 Google reviews

I have referred many patients from the clinic where I work who either lack insurance coverage or do not have adequate benefits, and Juan Carpenter has consistently made a meaningful difference in their lives.
Yadira S. · Google Referring clinic staff
We appreciate Juan's expertise and pleasant manner while exploring all the details of Medicare coverage.
Gregg M. · Google
Juan was very informative and extremely helpful.
Lynn H. · Google
Juan is great to work with. Very knowledgeable, works with you to find the best possible plan! Highly recommend!
David P. · Google

Why Haven

What a pharmacist notices that a call center does not.

Whether something is covered is the easy question. What a plan does with it after that — the tier, the network, the rule attached to it — is where the year gets expensive, and that detail is a pharmacist's daily work.

Ask around first

Ask the pharmacist you already see.

Haven was started by the pharmacists at Good Day Pharmacy. So you can check us out before you ever pick up the phone. Not many people in this business can say that.

The fair question

We do not pick plans around pharmacies.

It is fair to wonder. We do not. If the best plan for your medications means filling somewhere else, we will tell you so. The only time a pharmacy comes into it is if you ask us to keep yours.

Read like a pharmacist

Covered is not the same as affordable.

A plan can list your medication and still cost you much more than the plan next to it. It comes down to tiers, limits, and prior authorizations. That is a pharmacist's daily work, and it is where most of the money hides.

Pharmacist-run

We have been on the other end of these plans.

Pharmacists are the ones who tell you what your prescription costs today. We did that for years. Then we got licensed, so the hard conversation could happen in October instead of January.

Doctors by name

We check your providers, not just the network in general.

Not a vague promise that most plans cover most doctors. We look up your specific physicians and specialists in front of you, before any plan gets named.

Local first, not local only

Northern Colorado is home.

Greeley, Fort Collins, Loveland, Windsor and the towns around them are where we live. We also reach Grand Junction, Palisade and Colorado Springs, and we are licensed in 25 states, so a move or a parent out of state is no trouble.

The best introductions

What the pharmacy relationships are actually for.

Not a referral pipeline and not a pharmacy preference. A better introduction. When a pharmacist calls and says your name and how long they have known you, the conversation starts with a person who has a history instead of a lead off a list. That is most of what the pharmacy side is worth to you.

All year, not just October

You will hear from us in February too.

Letters arrive. Drugs move tiers. A prior authorization gets denied. When that happens you call the same person who set your plan up, and we help you read it. That is the part most people never get.

Ask us anything

Questions about this, answered.

Does it cost anything to work with Haven?

No. We are paid by the insurer if you enroll, and your premium is exactly the same whether you use a broker or sign up on your own. There is no fee, no consultation charge, and nothing added to what you pay for the plan.

How do you get paid, and how much?

Insurers pay a commission when someone enrolls. Ask us what any specific plan pays us and we will tell you the number.

The reason we say that plainly is that the question is completely fair, and a recommendation you can audit is worth more than a promise you cannot.

When can I sign up for Medicare?

Your Initial Enrollment Period runs seven months: the three months before your 65th birthday month, your birthday month, and the three months after. Enrolling in the first three months gets coverage starting the first day of your birthday month with no gap.

Wait until later in the window and coverage starts the first of the month after you sign up.

When is Medicare Open Enrollment?

October 15 through December 7, with changes effective January 1. Your plan has to receive the request by December 7. If you are already in a Medicare Advantage plan, you also get one more change between January 1 and March 31.

What counts as creditable coverage, and why does it matter?

Creditable coverage is other coverage Medicare accepts as good enough to have kept instead of enrolling on time, most commonly a group health plan through an employer with 20 or more employees. If you had it the whole time, you generally owe no late penalty.

If you had no coverage and simply did not enroll, a penalty applies, and the Part B one is permanent. Ask your employer for confirmation in writing and keep it, because that letter is the document that settles the question years later.

What is the difference between Medicare Advantage and a Medicare Supplement?

Medicare Advantage replaces how your Medicare is delivered, bundling everything into one plan with a network, typically a lower premium, extra benefits and an annual out-of-pocket maximum.

A Supplement sits alongside Original Medicare and pays the gaps, usually costing more each month but giving much broader provider access and more predictable costs.

The part that matters is that moving into Advantage is easy, while moving from Advantage back to a Supplement can mean a health review the company is allowed to turn down.

Will I be able to keep my doctor?

That depends on the specific plan, and it is exactly the kind of thing we check by name rather than in general. Bring us your list of physicians and specialists and we will look each one up against each plan before recommending anything.

Will my prescriptions still be covered?

Bring the list with doses and we will tell you precisely, plan by plan. What matters is not just whether a drug is on the formulary but which tier it sits on, whether there is a quantity limit, and whether it needs prior authorization or step therapy.

Those are what turn a cheap-looking premium into an expensive year.

Can I have Medicare and Medicaid at the same time?

Yes. That is called dual eligibility, and there are plans built specifically for it. Medicare pays first and Medicaid fills in behind it.

Full dual eligibility also qualifies you for Extra Help with drug costs automatically, and there are state programs that can pay your Part B premium outright.

Is there help paying my premiums?

Very likely more than you think. Medicare Savings Programs can pay your Part B premium, and Extra Help covers drug plan costs with 2026 income limits of $23,940 for an individual and $32,460 for a couple.

Both are badly underclaimed, and Medicare itself notes you may still qualify in your state even above the federal limits, so it is worth asking rather than assuming.

Can I bring my spouse or my adult children to the appointment?

Please do. Medicare decisions go better when everyone helping hears the same explanation at the same time, and it saves the person on Medicare from having to relay it all afterward.

I am still working at 65. Do I need to do anything?

Probably something, and what you should do depends on the size of your employer. With 20 or more employees you can usually delay Part B safely while covered.

With fewer than 20, your group plan may not pay properly without Part A and Part B, which is a coverage problem rather than just a penalty question.

Also, enrolling in Medicare ends your ability to contribute to an HSA, which catches people who sign up for premium-free Part A without realizing the consequence.

What happens after I enroll? Do I hear from you again?

Yes. The trouble shows up in February, months after the October decision. Drugs move tiers mid-year, prior authorizations get denied, and letters arrive that explain nothing.

When that happens you call the same person who set the plan up, and reading a denial and telling you what it actually says is the part of this job pharmacists are already trained for.

Are you affiliated with Medicare or the government?

No. Haven Health Plans is a private, independent agency. We are not affiliated with or endorsed by the federal Medicare program or any government agency. We represent plans from multiple private insurers approved by Medicare, and we do not offer every plan available in your area.

Northern Colorado Medicare help

We check the whole plan, not just the drug list.

One appointment. Advantage, Supplement and Part D side by side, your medications priced for the full year, your doctors checked against each plan's network, and the extra benefits confirmed rather than assumed. No pitch waiting at the end of it.

Ask us what a plan pays us and we will tell you the number. Haven is paid by the insurer if you enroll, and your premium is the same whether you use a broker or enroll directly.