Medicare can be confusing. With so many parts and plans, it’s no wonder people have questions. So, let’s simplify things! Here are the top 10 most common Medicare questions answered in a way that’s easy to understand:

1. When am I eligible for Medicare?

• Most people: Become eligible at age 65.
• People with disabilities: May be eligible if they’ve been receiving Social Security Disability Insurance (SSDI) for 24 months.
• People with End-Stage Renal Disease (ESRD): Eligible immediately.

2. What is Medicare Part A?

• Hospital Insurance: Covers inpatient hospital stays, skilled nursing facility care, hospice care, and home health care.

3. What is Medicare Part B?

• Medical Insurance: Covers doctor visits, outpatient care, preventive services, and some home health care.

4. What is Medicare Part C (Medicare Advantage)?

• Alternative to Original Medicare: Offered by private insurance companies.
• Includes: All Part A and Part B benefits, plus often extra benefits like dental, vision, and hearing.

5. What is Medicare Part D?

• Prescription Drug Coverage: Helps cover the cost of prescription medications.
• Sold separately: Can be purchased through private insurance companies.
• Important: Choose a plan that covers your medications.

6. When is Medicare Open Enrollment?

• Annual Enrollment Period (AEP): October 15th to December 7th each year.
• During AEP: You can switch plans or enroll in a new plan.

7. What is the difference between Original Medicare and Medicare Advantage?

• Original Medicare: Run by the federal government (Parts A & B). You can add Part D and a supplemental insurance plan (Medigap).
• Medicare Advantage: Offered by private insurance companies. All-in-one plans that include Parts A, B, and often Part D.

8. What is a Medigap plan?

• Supplemental insurance: Helps cover out-of-pocket costs not covered by Original Medicare (like deductibles and copayments).
• Sold by private insurance companies: Many different plans with varying levels of coverage.

9. What is the Medicare Savings Program (MSP)?

• Helps low-income individuals: Pay Medicare premiums and out-of-pocket costs.
• Eligibility: Based on income and assets.

10. How can I get help with Medicare decisions?

• Consult with a licensed Medicare Insurance Agent: We can help you understand your options and choose the best plan for your needs!