Service Area

Medicare Agent in Edgewood, Fort Mitchell & Crescent Springs, KY


The 41017 ZIP code covers six Northern Kentucky cities: Edgewood, Fort Mitchell, Crescent Springs, Villa Hills, Crestview Hills, and Lakeside Park. Each is a little different. Edgewood is one of the older communities in the region, with about 1 in 4 residents age 65 or older. Fort Mitchell has more young families. Crescent Springs and Villa Hills, on the hills above the Ohio River, are a mix of longtime homeowners and people approaching retirement. What they share is a ZIP code, and that means the same Medicare plans and the same hospital minutes away.

That hospital is St. Elizabeth Edgewood, the flagship of Northern Kentucky's largest health system and the U.S. News & World Report #1 hospital in Kentucky and Greater Cincinnati for 2026. The most important question for your Medicare plan here is simple: does it fully cover the hospital down the road, and the specialists who practice there?

Kenton County Medicare by the Numbers

MedMyWay helps 41017 residents answer that before they enroll. Jeff and Suzanne Janosick are independent agents who compare plans from every major carrier in Kenton County, and our help is free.

About 32,700 Medicare beneficiaries in Kenton County (CMS, March 2026)

57% on Medicare Advantage, about 18,600 people, and about 14,100 on Original Medicare, most with a supplement

45 Medicare Advantage plans in 2026 (not counting special needs plans), 31 of them with a $0 premium

Yearly out-of-pocket maximums from $2,875 to $9,250, depending on the plan

The most-enrolled plans are Humana Gold Plus (HMO), Anthem Medicare Advantage (HMO-POS), and HealthSpring Preferred (HMO)

For 2027: early figures show Kenton County dropping to about 43 Medicare Advantage plans, with 28 at $0. Fewer plans usually means some people's current plans are changing or going away, so read your Annual Notice of Change carefully this fall.

Living Near Kentucky's #1 Hospital: What Your Plan Needs to Cover

St. Elizabeth Edgewood is a large full-service hospital (more than 500 beds), and much of Northern Kentucky's specialty care is based there:

Florence Wormald Heart & Vascular Institute. St. Elizabeth Edgewood is certified by The Joint Commission and the American Heart Association as a

Comprehensive Cardiac Center, one of only 27 hospitals in the country with that certification. It's rated High Performing for heart attack, heart failure, valve surgery, bypass, and arrhythmia care.

Yung Family Cancer Center. A 250,000-square-foot cancer center on the Edgewood campus that opened in 2020, with screening, radiation, surgical oncology, and clinical trials under one roof.

St. Elizabeth Physicians. 500+ physicians across the region, including many primary care offices near 41017.Most Medicare plans in Kenton County include St. Elizabeth in some way, but "in-network" isn't the whole story. Before you enroll, check:

Are your specific specialists in-network, not just the hospital?

What's the copay for an inpatient stay, and for outpatient procedures like a heart catheterization or an MRI?

Does the plan require prior authorization for chemotherapy, radiation, or cardiac procedures? How long does approval usually take?

If you see a specialist in Cincinnati, is that provider covered too?We check all four for every plan we show you.

Planning for a Year You Might Need It

Most people choose a Medicare plan based on their healthiest year. It's smarter to look at what each option would cost in a year with a hospital stay, a cancer diagnosis, or a heart procedure.

Here's a simplified comparison of the most you'd pay in a heavy-use year for Medicare-covered medical care (not including drugs):

 

Medicare Advantage ($0 premium)

Original Medicare + Medigap Plan G

Monthly premium

$0

About $150 (example)

Yearly premium

$0

About $1,800

Most you’d pay out of pocket for covered care

Up to the plan’s maximum ($2,875 to $9,250 in Kenton County)

$283 (the Part B deductible)

Worst-case total

Up to $9,250

About $2,083

Networks and prior authorization

Yes

No

The Medigap premium is an example. Actual rates depend on your age, the carrier, and when you buy. Medicare Advantage costs depend on the specific plan.

Neither option is right for everyone. Medicare Advantage usually costs less in a healthy year and often adds dental, vision, and hearing. Medigap costs more each month but caps your exposure and removes network questions. If you have a heart condition, a cancer history, or ongoing specialist care, it's worth running these numbers before you choose.

One thing to know about switching later: if you're on Medicare Advantage and want to move to Medigap, most carriers can ask health questions outside your first Medigap enrollment window. In Kentucky, the birthday rule only lets you switch between Medigap plans with the same letter, not from Medicare Advantage to Medigap. If you're considering Medigap, the earlier you decide, the better.

Helping a Parent With Medicare

A lot of our 41017 calls come from adult children, often in Fort Mitchell or nearby, helping a parent in Edgewood or Lakeside Park. We're glad to have you on the call or in the room. A few things make it easier:

Gather the basics: your parent's Medicare card, current plan card, prescription list, and doctors' names

Ask your parent to name you as an authorized contact with their insurance plan, so you can call about claims or bills on their behalf

Bring any letters from the plan or Social Security, especially the Annual Notice of Change each fall

We'll walk through the options with both of you and make sure your parent is comfortable with the decision.

Serving Every Community in 41017

We work with clients in all six 41017 cities:

Edgewood, home to the St. Elizabeth Edgewood campus

Fort Mitchell, along the Dixie Highway corridor

Crescent Springs, just off I-75 and I-275

Villa Hills, overlooking the Ohio River

Crestview Hills, home to Thomas More University and Crestview Hills Town Center

Lakeside Park, between Fort Mitchell and Crestview Hills

We also serve nearby Fort Wright, Erlanger, Taylor Mill, Independence, and Covington. Our office is in Fort Thomas, about 20 minutes away, and we meet by appointment there or by phone or video.

Frequently Asked Questions: Medicare in 41017

I live in Crescent Springs (or Villa Hills). Are my Medicare options the same as Edgewood's?

Yes. Medicare plans are offered by county, and all six 41017 cities are in Kenton County. The difference is usually which doctors and pharmacies are closest to you. Someone in Villa Hills may see different specialists than someone in Edgewood, so we check your own providers against each plan.

Most Kenton County plans include St. Elizabeth, but copays, prior authorization rules, and which specialists are in-network vary by plan. Original Medicare with a Medigap plan covers St. Elizabeth like any other hospital that accepts Medicare, with no network rules. We check your specific doctors before you enroll.

You can change Medicare Advantage or Part D plans from October 15 to December 7, and the new plan starts January 1. Before switching, confirm that your oncologist, treatment center, and medications are covered by the new plan so your treatment isn't interrupted. Switching to a Medigap plan is different: outside your first enrollment window, most carriers can ask health questions. We'll walk you through both options.

Read the Annual Notice of Change for network, drug, and cost changes, then compare it against other plans before December 7. If your plan is being discontinued, you'll get a special enrollment period to choose a new one. Bring the letter to your review and we'll go through it with you.

Absolutely. Many of our clients bring a family member, in person or on the phone. We just need your permission to discuss your information with them.

No. We help clients throughout Northern Kentucky and Greater Cincinnati, and we're licensed in 14 states.

Nothing. Insurance carriers pay us directly, and your premium is the same whether you enroll through us or on your own.

Ready to Find the Right Medicare Plan in Northern Kentucky?

Whether you’re new to Medicare, turning 65, or just want to make sure you’re on the best plan available — MedMyWay is here to help. Schedule a free, no-pressure conversation with Jeff or Suzanne today.