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Medicare Questions

Medicare FAQ

What is Medicare and who is eligible?

Medicare is a federal health insurance program primarily for people 65 and older, as well as certain younger individuals with disabilities or specific conditions. Most U.S. citizens and permanent residents who have worked and paid Medicare taxes for at least 10 years (40 quarters) qualify for premium-free Part A at age 65.

What are the different parts of Medicare?

Medicare has four parts: Part A covers hospital stays and skilled nursing; Part B covers doctor visits, outpatient services, and preventive care; Part C (Medicare Advantage) is an all-in-one alternative offered by private insurers; and Part D covers prescription drugs. Many people combine these parts based on their health needs and budget.

When can I enroll in Medicare?

Your Initial Enrollment Period (IEP) is a 7-month window around your 65th birthday — 3 months before, your birthday month, and 3 months after. If you miss it, the General Enrollment Period runs January 1 – March 31 each year. The Annual Enrollment Period (AEP) from October 15 – December 7 is for changing Medicare Advantage or Part D plans.

What is the difference between Medicare Advantage and Medicare Supplement (Medigap)?

Medicare Advantage (Part C) replaces Original Medicare with an all-in-one plan that often includes drug, dental, vision, and hearing coverage — usually at a low or $0 premium but with network restrictions. Medigap supplements Original Medicare by covering out-of-pocket costs like copays and deductibles, with no network restrictions, but requires a separate Part D plan and typically has higher premiums.

Do I need a separate prescription drug plan?

It depends on your coverage. If you have Original Medicare with a Medigap plan, you will need a standalone Part D prescription drug plan. Most Medicare Advantage plans include Part D coverage. I can review your specific medications and find the most cost-effective drug plan option for you.

Does your Medicare guidance cost me anything?

No. My services are completely free to you. I am compensated by the insurance carriers, so there is never a cost or obligation for my guidance. You get expert help at no charge.

Can I change my Medicare plan after I enroll?

Yes. During the Annual Enrollment Period (October 15 – December 7), you can switch Medicare Advantage plans or Part D plans. There is also a Medicare Advantage Open Enrollment Period (January 1 – March 31) where you can switch MA plans or return to Original Medicare. I offer annual plan reviews to ensure you always have the best coverage.

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