Communication Preference

Please complete the form by clicking the button below to let us know how you’d like to receive communications moving forward. Note: this will not affect communications from your insurance company.

Breitenfeldt Group sends two important updates each year in the spring and summer. Watch for any mail or email with the BG logo based on your selected communication preference.

Communication

Protected Health Information

If you would you like another person (such as a spouse, child, etc.) to be able to contact us on your behalf, click one of the buttons below to grant this permission. HIPAA requires your permission before we can speak with another about your health insurance.

DOCUSIGN - ELECTRONIC FORM - MN & WI RESIDENTS DOCUSIGN - ELECTRONIC FORM - OTHER RESIDENTS REQUEST MAILED PAPER

Part B Premium

To stay covered under Medicare, you must always pay your Part B premium. If your premium is not received, you will lose eligibility for a Medicare Supplement or Medicare Advantage plan, and your policy will be canceled. Note: Your Part B premium is separate from the premium(s) paid to your health insurance company.

How to Pay Your Part B Premium

  • IF YOU ARE COLLECTING SOCIAL SECURITY: The government will automatically deduct your Part B premium from your monthly Social Security check. No action is needed.
  • IF YOU ARE NOT COLLECTING SOCIAL SECURITY: You will receive a quarterly bill from the Department of Health and Human Services labeled “Medicare Premium Bill.” You will choose a payment method and continue paying in this way until you begin collecting Social Security benefits, at which point your premium will be deducted automatically.

Watch Your Mail for Important Documents

  • Now that you are enrolled in a Medicare plan, be on the lookout for mail from your insurance company, including details about your plan and your ID card.
  • PRESCRIPTION COVERAGE LETTER: If you enrolled in Medicare after age 65, you may receive a letter from the Department of Health and Human Services titled “Declaration of Prior Prescription Drug Coverage.” You should complete this form to prevent extra charges. If you receive this letter and are unsure how to proceed, contact us for assistance.
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Contact Us First for
All Questions Regarding:

  • Benefits
  • Claims
  • Billing
  • Prescription Coverage
  • Networks
  • Change of Residence
  • Travel Coverage
  • Extra benefits such as dental, vision, and over-the-counter allowance

Stay in touch with the BG Team!

We have you covered!

Our group continues to serve all Minnesota and Wisconsin residents, as well as those looking to make a permanent move to another state. If you have friends or family that would benefit from our Medicare services anywhere in the United States, please provide them our contact information.

The highest compliment you can give us is the referral of a new member!
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Interested in additional travel coverage?

Contact our team for information.

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We value your feedback, tell us how we did in 2 quick steps.

STEP 1: COMPLETE THE FORM BELOW FOR THE BG TEAM MEMBER YOU WORKED WITH.

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STEP 2: CHOOSE THE OFFICE LOCATION NEAREST YOU:

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