Physician Detail

James Pratt Cardon, MD, FACC

CEO, Integrated Care Partners at Hartford HealthCare; Co-Physician-in-Chief, Hartford HealthCare Heart & Vascular Institute


Practice

Cardiology, PC

Specialty

Cardiovascular Medicine, Board Certified < Not accepting new patients for this specialty
Internal Medicine, Board Certified < Not accepting new patients for this specialty

Areas of Interest

Atrial Fibrillation, Cardiac Imaging, Cardiomyopathy, Cholesterol Management, Congestive Heart Failure (CHF), Coronary Artery Disease, Echocardiography, Exercise Testing, Hypertension, Nuclear Cardiology, Syncope

Physician Quicklink

https://hartfordhealthcare.org/JamesCardon

Phone

860.263.3540

Call for Appointment

Gender
Male

Languages
English


Office Locations


  • Cardiology, PC

    Cardiology, Electrophysiology, Cardiac Rehab

    11 South Road
    Suite 100
    Farmington, CT 06032
    Get Directions >>

    Phone: 860.522.5712
    Fax: 860.520.4270

  • Hartford HealthCare Corporation

    One State Street
    Suite 19
    Hartford, CT 06105
    Get Directions >>


Bio

It’s that time of year…open enrollment…a time when you can re-evaluate your current health insurance plan…And we all know that navigating the health care system can be challenging…especially for those searching for a Medicare plan…

Dr. Jim Cardon, CEO, Integrated Care Partners at Hartford HealthCare…

Q. Lots of folks out there I’m sure have lots of questions…let’s begin with…”Let’s say you just turned 65. Are you automatically enrolled?”

A. That is a common misconception, but you are not automatically enrolled in Medicare. In order to get Medicare coverage, you must enroll through the Social Security Administration. You can enroll on the Social Security website, by calling Social Security, or by visiting your local Social Security office in person.

Q. When does someone need to sign up for Medicare?

A. That really depends on your situation. It you are almost 65, you can sign up for Medicare (Part A and Part B) 3 months before or after your 65th birthday. This is called the Initial Enrollment Period.

If you are 65 or older and ready to retire, or still on your spouse’s health insurance, you can wait to sign up for Medicare until you retire or your coverage with your employer or your spouse’s employer expires. You have an 8-month window to sign up for Medicare in this scenario. This is considered a Special Enrollment Period. There are penalties for not adhering to these guidelines, so it is important to follow the CMS regulations.

Q. There are so many different elements of Medicare. Can you give us a brief overview?

A. Medicare is health insurance provided by the Federal government for people 65 and older, and people under 65 who meet certain criteria. It consists of four separate parts:

Part A, which covers things like hospital expenses for inpatient hospital stays, skilled nursing facility care, hospice, some medically necessary home health care and some medical equipment. For most people, part A is free if you maid Medicare taxes while employed, but there is a deductible.

Part B covers medical services such as doctor visits and outpatient care. You pay a monthly premium for Part B, plus additional medical service costs. Other things are also included including testing and labs, outpatient care, ambulance and emergency services. Your premium for part B varies depending on your income and is taken from our social security payments automatically. Like part A, there is also a deductible, but there is also coinsurance.

Part C covers all the benefits of Original Medicare (Part A and Part B), plus additional benefits that Original Medicare doesn’t cover and the option to include prescription drug (Part D) coverage. Many people choose to add Part C because it provides more complete coverage than just Original Medicare, such as routine eye and hearing exams, or dental. Premium, co-pays, and deductibles vary depending on the plan you choose. You must continue to pay your part B premium.

Part D covers prescription drugs. The cost of a part d plan varies depending on the type of plan you choose. Part D can be included with a Part C plan or purchased separately as a stand-alone Part D plan. Looking at the drugs you take or might have to take in the following year is very important. Some prescription drug plans have deductibles and co-pays. Some seniors could also qualify for extra help with their prescription drug costs based on income.

For both parts c and d, coverage can vary widely depending on the plan, so it is important to take a close look each year and your health, what types of services you may need the next calendar year, and what drugs you take.

Q. Where can folks get more information or who can they ask for help in navigating options?

A. The CHOICES Program (Connecticut's programs for Health insurance, Outreach, Information and Eligibility Screening) provides unbiased information and counseling. They are a good option to help seniors navigate the system. They can also reach out to local health plans that offer Medicare Advantage and supplement plans for more tailored information. I cannot stress enough how important it is to take a close look each year and your health, what types of services you may need the next calendar year, and what drugs you take when trying to make an informed decision.

If you would like more information, please call 1-855-HHC-HERE.


Education

Medical School

  • University of Rochester School of Medicine 1984 MD

Internship

  • Hartford Hospital

Fellowship

  • Hartford Hospital, Cardiology
  • Hartford Hospital, Advanced Internal Medicine

Undergraduate

  • Boston College 1980 BS

Faculty Appointments

University of Connecticut School of Medicine, Medicine/Cardiology, Assistant Clinical Professor


Insurance Accepted*

Aetna, Anthem, BCBS Medicare, Cigna Healthcare, Colonial Cooperative Care, Community Health Network of Connecticut, Inc., Connecticare, Connecticare Commercial, Connecticare Medicare, Corvel, Coventry, Essence Healthcare, Evercare, First Health Group Corp., Focus, Harvard Pilgrim, Health Connecticut, Health Direct, Health New England, Healthy Connecticut, HMC/Northeast Healthcare, Medspan Commercial, Medspan Medicare, Multiplan, Northeast Health Direct, One Health Plan/Great-West Healthcare, Oxford Health Plans, Prime Health Services, Private Health Care Systems, Inc., Senior Whole Health, United Healthcare, WellCare of Connecticut, Inc.

*This information is subject to change at any time. Please check with your insurance provider before scheduling your appointment or receiving services to confirm they are a participating member of the Hartford HealthCare network.


Hartford HealthCare


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