Serving Illinois and Missouri

  • Home
  • About Us
    • About Us
  • Our Services
    • Our Services
  • Medicare Basics
    • Medicare Basics
  • Medicare Parts
  • Medicare Resources
  • More
    • Home
    • About Us
      • About Us
    • Our Services
      • Our Services
    • Medicare Basics
      • Medicare Basics
    • Medicare Parts
    • Medicare Resources

(TTY: 611) 618-920-2000

(TTY: 611) 618-920-2000

  • Home
  • About Us
    • About Us
  • Our Services
    • Our Services
  • Medicare Basics
    • Medicare Basics
  • Medicare Parts
  • Medicare Resources

Trusted Medicare Guidance for Seniors

Trusted Medicare Guidance for SeniorsTrusted Medicare Guidance for SeniorsTrusted Medicare Guidance for Seniors

Compassionate Help Navigating Medicare

Call Now
Learn More

About Us

Lori Reams-Barciszewski Licensed Independent Broker

With over 20 years of experience in healthcare, I have had the opportunity to work closely with patients, families, and providers. I have seen firsthand how confusing Medicare can be, and that experience led me to this role where my focus is helping individuals better understand how Medicare works and what types of coverage may be available.


Whether you are turning 65, planning for retirement, or simply looking to learn more about Medicare, I provide personalized, no-cost educational guidance to help you feel informed and supported. I am happy to be a resource for you or someone you care about.

Our Services

Senior Medicare Support

Senior Medicare Support

Senior Medicare Support

 We help individuals who are new to Medicare, already enrolled, or considering a change in coverage. Whether you’re turning 65, retiring, or reviewing your current plan, we provide clear guidance so you can make confident Medicare decisions. 

Medicare Choices

Senior Medicare Support

Senior Medicare Support

 An independent broker is not tied to one insurance company. We help compare Medicare options from multiple carriers so you can choose coverage that fits your needs. 

Coverage Options

Senior Medicare Support

Coverage Options

Medicare Supplement 


Medicare Advantage


 Part D Prescription Drug Plans


Hospital Indemnity 

Medicare Basics

Medicare Basics

Medicare is the U.S. federal health insurance program covering hospital stays, doctor visits, and prescription drugs through different "Parts,".


 Medicare offers two primary coverage paths: 


Option 1

Original Medicare (Parts A & B)

 which can be paired with a Medicare Supplement / Medigap and Part D plan 


Option 2  

Medicare Advantage 

(Part C) is an all-in-one option through private insurance companies that replaces Original Medicare and typically includes prescription drug coverage and extra benefits. 


Open Enrollment

  •  Initial Enrollment Period (IEP) – First time enrolling
     
  • Annual Enrollment Period (AEP) – October 15 thru December 7 


  • Medicare Advantage Open Enrollment Period (MA OEP) – January 1 thru March 31


  • General Enrollment Period (GEP) – January 1 thru March 31
     
  • Special Enrollment Periods (SEP) – Varies, ongoing for qualifying events

Eligibility

  • Age: Generally 65 or older.
  • Disability: Younger individuals with long-term disabilities.
  • Specific Conditions: People with ESRD (permanent kidney failure) or ALS (Lou Gehrig's disease) at any age. 

Medicare Parts

Part A Coverage

Supplement / Medigap

Part A Coverage

Medicare Part A helps cover your inpatient care in hospitals, critical access hospitals, and skilled nursing facilities (not custodial or long-term care). It also helps cover hospice care and some home health care. You must meet certain conditions to get these benefits. Most people don't have to pay a monthly payment, called a premium, for Part A. This is because they or a spouse paid Medicare taxes while they were working. If you (or your spouse) didn't pay Medicare taxes while you worked and you are age 65 or older, you may be able to buy Part A.  

Part B Coverage

Supplement / Medigap

Part A Coverage

Medicare Part B helps cover medical services like doctors' services, outpatient care, and other medical services that Part A doesn't cover. Part B is optional. Part B helps pay for covered medical services and items when they are medically necessary. Part B also covers some preventive services like exams, lab tests, and screening shots to help prevent, find, or manage a medical problem. Most people pay a monthly premium for Part B. The exact premium depends on your income level.

Supplement / Medigap

Supplement / Medigap

Supplement / Medigap

Medigap plans work with Original Medicare to help cover out-of-pocket costs like deductibles, coinsurance, and copayments. You keep your Original Medicare card and can see any doctor who accepts Medicare. Medigap does not include prescription drug coverage (Part D).  

Part C Benefits

Supplement / Medigap

Medicare Advantage plans combine your Medicare Part A and B coverage and often include extra benefits like prescription drugs, vision, or dental. Coverage is usually provided through a network of doctors, and most plans include Part D for medications. 

Part D Coverage

Part D plans help cover prescription medications. They can be purchased separately or are often included with Medicare Advantage plans. Coverage varies by plan and pharmacy.

Medicare Resources

Medicare Handbook (pdf)

Download

Guide to Medigap Plans (pdf)

Download

Medicare Advantage Explained (pdf)

Download

CMS-L564 Employment Form (pdf)

Download

What Our Clients Say

Contact Us

Speak with a Medicare Broker

Attach Files
Attachments (0)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Your trusted guide to senior healthcare. We're here to help you.

Lighthouse Management and Consulting, LLC

Foristell, MO 63348, USA

(TTY:611) 618-920-2000

Your Privacy & Our Promise

 We respect your privacy and are committed to protecting your personal information. Any information collected through this website, including name, phone number, or email address, is used solely to respond to inquiries and provide information about Medicare related products and services.  This website may use cookies or tracking technologies, including those from third parties such as Meta Facebook, to help improve user experience and measure advertising performance. This information does not identify you personally.  We do not sell or share your personal information except as required by law or to provide requested services.


We do not offer every plan available 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.  Medicare has neither reviewed nor endorsed this information. Not connected with or endorsed by the United States government or the federal Medicare program. 


This website is operated by Lighthouse Management and Consulting. Service and product availability varies by state. The insurance broker may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll.  Brokers cannot provide tax or legal advice.  Our focus is on helping you understand your options so you can make informed decisions. 


Lighthouse Management and Consulting is a licensed and certified representative of Medicare Supplement plans, Advantage HMO, PPO and PPFS organizations and stand-alone prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion.


If you have questions about this Privacy Policy, please contact us at 618-920-2000.


Copyright © 2026 Lighthouse - All Rights Reserved.

Powered by