PLAIN TALK MEDICARE

SHIBA vs a Medicare Broker in Oregon: What's the Difference?

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Ready to look at real plans? Medicare’s official Plan Finder shows every plan in your ZIP code, with costs for your drugs.

Want free one-on-one help? Oregon’s SHIBA program offers free, unbiased Medicare counseling. Call 800-722-4134 or visit shiba.oregon.gov.

Older couple getting help with paperwork across a table
SHIBA

What Is SHIBA?

SHIBA stands for Senior Health Insurance Benefits Assistance. It’s Oregon’s free Medicare help program. Its trained, certified counselors, many of them volunteers, provide local, confidential, one-on-one help to Oregonians with Medicare questions. SHIBA also offers free Medicare classes and publishes an annual Oregon Medicare guide.

You can reach SHIBA at 800-722-4134 (TTY: dial 711).

SIDE BY SIDE

SHIBA vs a Broker, Side by Side

SHIBA counselorLicensed Medicare broker
Cost to youFreeFree (insurers pay the broker)
Explains your optionsYesYes
Recommends a specific planNoYes, from the insurers they represent
Helps you enrollCan help you understand enrollmentCan enroll you in plans they represent
Paid by insurersNoYes, within federal limits for Medicare Advantage and Part D
Covers every planGives unbiased information on your optionsOnly the insurers they represent, and must tell you that

When SHIBA is a great fit

You want unbiased education with no sales involved. You have a billing problem, a denied claim, or a question about how Medicare works. You want to understand your options before talking to anyone selling plans.

When a broker is a great fit

You want someone to recommend a specific plan for your doctors, drugs, and budget. You want help comparing plans from several insurers and enrolling. You want someone to check in every year before Open Enrollment.

Ready to look at real plans?

Medicare’s official Plan Finder shows every plan in your ZIP code, with costs for your drugs.

Want free one-on-one help? Oregon’s SHIBA program offers free, unbiased Medicare counseling. Call 800-722-4134 or visit shiba.oregon.gov.

HOW BROKERS GET PAID

How Brokers Get Paid

Insurance companies pay brokers a commission when you enroll, and your premium is the same either way. For Medicare Advantage and Part D, federal rules cap what plans can pay. For 2027, that’s up to $725 for a new Medicare Advantage enrollment and $130 for a new Part D plan.

QUESTIONS

FAQs

What is SHIBA in Oregon?

Senior Health Insurance Benefits Assistance, Oregon's free Medicare counseling program. Call 800-722-4134.

Is SHIBA free?

Yes. SHIBA counseling is free.

Can SHIBA recommend a Medicare plan?

No. SHIBA counselors can explain your options, but in Oregon only a licensed agent can recommend a specific plan.

Is a Medicare broker free?

Yes. The insurance company pays the broker, and Medicare Advantage plans must make sure you aren't charged consulting fees.

Should I use SHIBA or a broker?

Use SHIBA for unbiased education and help with Medicare problems. Use a broker when you want a specific plan recommendation and help enrolling. Many people use both.

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Ready to look at real plans?

Medicare’s official Plan Finder shows every plan in your ZIP code, with costs for your drugs.

Want free one-on-one help? Oregon’s SHIBA program offers free, unbiased Medicare counseling. Call 800-722-4134 or visit shiba.oregon.gov.

Kelly Raulerson
ABOUT THE AUTHOR
Founder

Kelly Raulerson is the founder of Plain Talk Insurance. She has spent more than a decade turning complicated topics into plain English, including building a website that reached a million readers a year. She lives in the Portland area and is completing her Oregon life and health insurance license.