Learn Medicare Basics
Medicare is a federal health insurance program for people age 65 and older, some younger people with disabilities, and people with certain medical conditions. Understanding the basics can help you make better decisions before you enroll.
Start by learning the four main parts of Medicare, when you become eligible, and how Medicare Advantage, Original Medicare, and Medigap work together.
The Four Parts of Medicare
Medicare Part A
Part A helps cover hospital stays, skilled nursing care, hospice care, and some home health services.
Most people do not pay a monthly premium for Part A if they worked and paid Medicare taxes long enough.
Medicare Part B
Part B helps cover doctor visits, outpatient care, preventive services, lab work, and medical equipment.
Most people pay a monthly premium for Part B.
Medicare Part C
Part C is also called Medicare Advantage. These plans combine Part A and Part B coverage and often include prescription drugs and extra benefits.
Many plans may include dental, vision, hearing, and fitness benefits.
Medicare Part D
Part D helps pay for prescription drugs. You can add it to Original Medicare or receive it through many Medicare Advantage plans.
Drug coverage and costs vary by plan.
Who Can Get Medicare?
Most people become eligible for Medicare at age 65. Some people may qualify earlier because of a disability, Amyotrophic Lateral Sclerosis, or End-Stage Renal Disease.
You may also qualify if you have received Social Security disability benefits for at least 24 months.
Medicare Coverage Choices
Original Medicare
Original Medicare includes Part A and Part B. You can visit any doctor or hospital that accepts Medicare.
Many people add a Part D prescription drug plan and a Medigap plan to help lower out-of-pocket costs.
Medicare Advantage
Medicare Advantage plans replace Original Medicare and often combine hospital, medical, prescription, and extra benefits in one plan.
Many plans may include dental, vision, hearing, transportation, and over-the-counter allowances.
Frequently Asked Questions About Medicare
What is the difference between Medicare and Medicaid?
Medicare is a federal health insurance program mainly for people age 65 and older. Medicaid is a separate program based on income and state rules.
Do I need to sign up for Medicare if I still work?
Some people delay Medicare if they have employer coverage. The rules depend on the size of the employer and the type of coverage you have.
When should I enroll in Medicare?
Most people enroll during the seven-month Initial Enrollment Period around their 65th birthday.
Need Help Understanding Medicare?
Speak with a licensed Medicare agent to learn more about your Medicare options, compare coverage, and understand when to enroll.