Medicare 101: A Beginner's Guide
Everything you need to know about Medicare in one comprehensive guide.
Free educational resources to help you understand Medicare and make informed decisions about your healthcare coverage.
Hospital Insurance
Covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care.
Medical Insurance
Covers doctor visits, outpatient care, preventive services, durable medical equipment, and some home health care.
Medicare Advantage
An all-in-one alternative to Original Medicare offered by private insurers. Often includes Part D and extra benefits.
Prescription Drugs
Covers prescription medications. Available as standalone plans or included in Medicare Advantage plans.
Understanding when you can sign up or make changes to your Medicare coverage is critical. Missing deadlines can result in penalties.
7-month window around your 65th birthday
Your first chance to sign up for Medicare. Starts 3 months before your 65th birthday, includes your birthday month, and ends 3 months after.
October 15 - December 7
Review and change your Medicare Advantage and Part D plans each year. Changes take effect January 1.
January 1 - March 31
If you have Medicare Advantage, you can switch to another MA plan or return to Original Medicare during this period.
Varies by qualifying event
Special circumstances (like moving, losing employer coverage, etc.) may qualify you to enroll or make changes outside normal periods.
Essential information for those new to Medicare
Everything you need to know about Medicare in one comprehensive guide.
Learn what each part covers and which ones you need.
Key enrollment periods and deadlines you can't afford to miss.
Understand the differences between plan types
Compare the pros and cons to find what works best for you.
Understanding supplemental coverage options for Original Medicare.
How to choose a drug plan that covers your medications.
Understanding Medicare expenses and how to save
Break down of premiums, deductibles, copays, and out-of-pocket limits.
Programs that can help pay your Medicare costs if you qualify.
Low-income subsidy programs for Part D coverage.
Quick answers to common Medicare questions
Most people should sign up during their Initial Enrollment Period (IEP) - the 7-month window around their 65th birthday. If you have employer coverage, you may be able to delay enrollment without penalty.
Part A is premium-free for most people who paid Medicare taxes for at least 10 years. Part B has a standard monthly premium (~$174.70 in 2024). Part D and Medicare Advantage premiums vary by plan.
Medicare is federal health insurance for people 65+ (and some younger people with disabilities). Medicaid is a joint federal-state program that helps with medical costs for people with limited income and resources.
With Original Medicare, you can see any doctor who accepts Medicare. With Medicare Advantage, you typically need to use in-network providers. Always verify your doctors accept your plan before enrolling.
The 'donut hole' (coverage gap) is a temporary limit on what Part D plans cover for drugs. In 2024, you enter the gap when your total drug costs reach $5,030. You pay no more than 25% of drug costs in the gap.
Original Medicare only covers about 80% of approved costs. Many people choose a Medicare Supplement (Medigap) policy to help cover the remaining costs. Medicare Advantage plans have built-in cost protections.
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