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Frequently asked questions

Straight answers to the questions we hear most. Don't see yours? Give us a call.

Working with us

Does it cost anything to work with EE Health Services?

No. Our quotes, plan comparisons and enrollment help are free to you. Agents are paid by the insurance companies, and your plan premium is the same whether you enroll with us or on your own.

Do you speak Spanish?

Yes. Our agents help clients in both English and Spanish, by phone or in person.

What areas do you serve?

We're based in Edinburg, Texas and help clients throughout the Rio Grande Valley, including McAllen, Mission, Pharr, Weslaco, Harlingen, Brownsville and Rio Grande City.

What should I bring to my appointment?

Your Medicare card (if you have one), a list of your prescriptions and doses, the names of your doctors and preferred pharmacy, and any current insurance cards or plan letters.

When is Medicare open enrollment?

The Medicare Annual Enrollment Period runs October 15 through December 7 each year, and changes take effect January 1. If you're in a Medicare Advantage plan, you can also make one change from January 1 through March 31.

When is ACA open enrollment for 2027?

November 1, 2026 through January 15, 2027 on HealthCare.gov. Enroll by December 15 for coverage that starts January 1, 2027.

What are your office hours?

Monday through Friday, 9:00am to 5:00pm. We're closed Saturday and Sunday. Call (956) 566-7404 or send us a message any time through our contact form.

Medicare Advantage (Part C) plans

Do I still need Part A and Part B to join Medicare Advantage?

Yes. You must be enrolled in Medicare Part A and Part B and live in the plan's service area. You keep paying your Part B premium unless a program like Medicaid pays it for you.

Can I keep my doctor with a Medicare Advantage plan?

It depends on the plan's network. We check your doctors, specialists and preferred hospital before you choose a plan.

Can I have Medicare Advantage and Medigap at the same time?

No. Medigap policies only work with Original Medicare. If you join a Medicare Advantage plan, you would not use a Medigap policy.

Can I change my Medicare Advantage plan if I don't like it?

Yes. You can change plans during the Annual Enrollment Period (October 15 – December 7) or make one change during the Medicare Advantage Open Enrollment Period (January 1 – March 31).

More about Medicare Advantage →

Medicare Part D prescription drug plans

Who can enroll in Medicare Part D?

Anyone who has Medicare Part A or Part B and lives in the plan's service area can join a Part D plan.

What is the Part D out-of-pocket cap for 2027?

$2,400. After your out-of-pocket costs for covered Part D drugs reach $2,400 in 2027, you pay $0 for covered drugs for the rest of the year. Premiums do not count toward the cap.

Can I get Part D with a Medicare Advantage plan?

Yes. Many Medicare Advantage plans include Part D drug coverage. If your Medicare Advantage plan includes drug coverage, you generally can't add a separate stand-alone Part D plan.

Can I switch Part D plans every year?

Yes. You can change Part D plans during the Annual Enrollment Period from October 15 to December 7. It's a good idea to review your plan every fall because formularies and costs can change.

More about Medicare Part D →

Medigap (Medicare Supplement) insurance

Who is eligible for Medigap?

You need to be enrolled in Medicare Part A and Part B. The strongest protections apply during your 6-month Medigap Open Enrollment Period, which starts when you are 65 or older and enrolled in Part B.

Does Medigap cover prescription drugs?

No. Medigap policies sold today don't include drug coverage. Most people with Medigap also enroll in a stand-alone Medicare Part D plan.

Does my spouse need a separate Medigap policy?

Yes. Medigap policies cover one person, so each spouse needs his or her own policy.

Can I switch from Medicare Advantage to Medigap?

You can return to Original Medicare during certain enrollment periods and then apply for Medigap, but outside your Medigap Open Enrollment Period an insurer may review your health history. Talk with us before you switch.

More about Medigap →

ACA Marketplace health insurance

When can I sign up for an ACA plan in Texas?

For 2027 coverage, open enrollment on HealthCare.gov runs from November 1, 2026 to January 15, 2027. Enroll by December 15 for coverage starting January 1. Outside open enrollment you need a qualifying life event for a Special Enrollment Period.

Can I get help paying for an ACA plan?

Many households qualify for a premium tax credit based on income and household size. We help you check what you may qualify for when you apply.

Will an ACA plan cover my pre-existing condition?

Yes. Marketplace plans can't refuse to cover you or charge you more because of a pre-existing health condition.

I'm turning 65. Should I keep my Marketplace plan?

Usually not. When you become eligible for Medicare, you generally lose eligibility for Marketplace savings. We can help you time your move to Medicare so you don't have a gap in coverage.

More about ACA Marketplace plans →

Dates and dollar amounts reflect 2026–2027 Medicare and Marketplace program rules. Last reviewed: November 2026.

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