Clear, honest information to help you make the best decision for your healthcare coverage. No pressure, no jargon—just the facts you need.
Medicare has four main parts. Each covers different services. Here's what you need to know:
What it covers:
Cost: Most people pay $0 if they or their spouse paid Medicare taxes while working.
What it covers:
Cost: Standard monthly premium in 2024 is $174.70 (may be higher based on income).
What it covers:
Cost: Varies by plan; you still pay Part B premium plus any plan premium.
What it covers:
Cost: Varies by plan; averages around $40-50/month but depends on your medications.
Original Medicare (Parts A & B) covers about 80% of your healthcare costs. You're responsible for the other 20%, plus deductibles and copays. That's where Medicare Advantage or Medicare Supplement plans can help.
Both options work with Original Medicare, but they work differently. Here's a clear comparison to help you decide:
| Feature | Medicare Advantage (Part C) | Medicare Supplement (Medigap) |
|---|---|---|
| How it works | Replaces Original Medicare with a private plan | Works alongside Original Medicare to fill in gaps |
| Monthly premium | Often $0-50 (plus Part B premium) | Usually $100-300 (plus Part B premium) |
| Doctor choice | Network restrictions (HMO/PPO) | Any doctor who accepts Medicare |
| Out-of-pocket maximum | ✓ Yes (typically $3,000-7,000/year) | ✗ No annual limit (but less out-of-pocket overall) |
| Drug coverage (Part D) | ✓ Often included | ✗ Must buy separately |
| Extra benefits | ✓ May include dental, vision, hearing, fitness | ✗ Typically none |
| Travel coverage | Limited outside service area | Works nationwide (some plans cover foreign travel) |
| Medical underwriting | ✓ No health questions | ⚠ May require health screening after initial enrollment |
| Best for | Lower premiums, extra benefits, predictable network | Freedom to choose doctors, frequent travelers, complex health needs |
Medicare Advantage plans often have lower monthly costs but network restrictions. Medigap plans have higher premiums but offer more flexibility and predictable costs. Consider your health, budget, and whether you have preferred doctors.
Follow these steps to ensure you enroll on time and avoid penalties:
Your Initial Enrollment Period begins 3 months before the month you turn 65. Start researching your options now. If you're still working with employer coverage, check if you need to enroll or can delay.
Most people should enroll in Part A (free for most) and Part B during their Initial Enrollment Period. You can enroll online at ssa.gov, by phone, or at your local Social Security office.
Decide whether you want Medicare Advantage (Part C) or Original Medicare plus a Medigap plan. You cannot have both. Review the comparison above to help decide.
If you choose Original Medicare with Medigap, you'll need to add a separate Part D plan. Medicare Advantage plans often include drug coverage. Review which of your medications are covered.
If you have employer coverage, VA benefits, or COBRA, understand how they work with Medicare. You may be able to delay enrollment without penalty.
Your Initial Enrollment Period lasts 7 months (3 months before your birthday month, your birthday month, and 3 months after). Missing this window can result in late enrollment penalties.
Our licensed Medicare advisors are here to answer your questions at no cost to you. We'll help you understand your options and find a plan that fits your needs and budget. No obligation, no pressure.
Answer a few quick questions, and we'll help you find plans that match your needs. This takes about 2 minutes.
Based on your answers, we'll provide free, personalized plan recommendations and pricing. A licensed Medicare advisor will contact you to discuss your options—no obligation.
Your information has been received. A licensed Medicare advisor will contact you within 1 business day to discuss your personalized plan options.
In the meantime, feel free to explore more Medicare resources on this site.