MEDICARE • UNITED STATES
Understand Medicare
With Confidence
Clear, practical guidance to help you understand
coverage, enrollment, costs, and the choices
available to you.
MEDICARE • UNITED STATES
Clear, practical guidance to help you understand
coverage, enrollment, costs, and the choices
available to you.
Medicare Basics
Eligibility & Enrollment
Coverage & Costs
Compare Your Options
Helps cover inpatient
hospital stays, skilled nursing care, hospice care,
and some home health care.
Helps cover doctor visits, outpatient care, preventive services, and medically
necessary supplies.
Offered by private companies, these plans include Part A and Part B coverage, and may offer extra benefits.
Helps cover the cost
of prescription
medications through private insurance plans.
ENROLLMENT
There are specific times during the year when you can enroll in Medicare or make changes to your coverage. Enrolling at the right time can help you avoid gaps in coverage.
See if you qualify
for Medicare and gather what you need.
Compare coverage options that fit your health needs.
Submit your enrollment during the right period to avoid delays.
✓ You can see any doctor or specialist who accepts Medicare.
✓ Does not include prescription drug coverage.
✓ May have additional costs for some services.
✓ You may want a Medigap policy to help with costs.
✓ All-in-one plan includes Part A and Part B.
✓ May include prescription drug coverage and extra benefits.
✓ Usually has a network of doctors and hospitals.
✓ Costs, benefits, and rules vary by plan.
ⓘ The right choice depends on your health needs, preferred providers, prescriptions, location, and budget.
✓ Premiums
✓ Deductibles
✓ Copayments
✓ Coinsurance
Costs can vary based on the services you use, the plan you choose, and your health needs. Review your options carefully to understand what you may be responsible for.
There are programs that may help lower your costs if you qualify. Explore options based on your income and resources.
PRESCRIPTIONS
Review your prescription drug coverage each year to make sure your medications, pharmacies, and costs still meet your needs.
✓ Make a medication list
✓ Check the plan formulary
✓ Confirm preferred pharmacies
Learn about screenings, wellness visits, vaccines, and other services that may be covered.
PROTECT YOUR MEDICARE
Never share your Medicare number with an unexpected caller or anyone offering unsolicited products or services.
Most people first become eligible for Medicare around age 65. Your Initial Enrollment Period generally begins 3 months before the month you turn 65, includes your birthday month, and ends 3 months after. If you qualify for Medicare because of certain disabilities or medical conditions, different enrollment rules may apply.
If you or your spouse are still working and you have health coverage through an employer, you may be able to delay certain parts of Medicare without paying a late enrollment penalty. The rules depend on the employer’s size and the type of coverage you have. Check how your employer coverage coordinates with Medicare before deciding to delay enrollment.
It depends on the Medicare coverage you choose. Original Medicare generally allows you to visit any doctor or specialist who accepts Medicare. Medicare Advantage plans typically use a network of doctors and healthcare providers, so you should check whether your preferred doctor participates in the plan.
Yes. Medicare provides specific enrollment periods when you may be able to change your coverage. For example, during the Medicare Annual Enrollment Period, you can generally make certain changes to Medicare Advantage and prescription drug coverage for the following year. Other Special Enrollment Periods may apply depending on your circumstances.
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