Medicare Insurance
Understanding Your Medicare Options
Medicare can feel overwhelming — but it doesn't have to be. We break it down clearly so you can choose the coverage that's right for you.
What Is Medicare?
Medicare is the federal health insurance program for people 65 or older, as well as certain younger people with disabilities. It's divided into parts, each covering different types of care.
Navigating Medicare on your own can be confusing — there are enrollment windows, coverage gaps, and dozens of plan options. That's where we come in. We help you understand every option and find the plan that fits your health needs and budget.
The Four Parts of Medicare
Each part covers a different aspect of your healthcare. Understanding them is the first step to choosing the right plan.
Hospital Insurance
Covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health services. Most people don't pay a premium for Part A if they or their spouse paid Medicare taxes while working.
- Inpatient hospital care
- Skilled nursing facility stays
- Hospice care
- Some home health services
Medical Insurance
Covers doctor visits, outpatient care, preventive services, and medically necessary services. Part B requires a monthly premium, which is typically deducted from your Social Security benefit.
- Doctor and specialist visits
- Outpatient procedures
- Preventive screenings
- Durable medical equipment
Medicare Advantage
An alternative to Original Medicare offered by private insurance companies. Medicare Advantage plans bundle Part A and Part B coverage — and often include Part D drug coverage, dental, vision, and hearing benefits.
- Combines Parts A, B, and often D
- Often includes dental, vision, hearing
- May have lower out-of-pocket costs
- Network-based care (HMO or PPO)
Prescription Drug Coverage
Helps cover the cost of prescription medications. Part D plans are offered by private insurers and vary in which drugs they cover and at what cost. Choosing the right Part D plan can save you hundreds of dollars a year.
- Covers prescription medications
- Varies by formulary (drug list)
- Standalone or bundled with Advantage
- Annual enrollment window applies
Medicare Supplement (Medigap)
Original Medicare covers about 80% of approved costs — leaving you responsible for the rest. A Medicare Supplement plan (also called Medigap) fills in those gaps, covering coinsurance, copayments, and deductibles so you're not hit with unexpected bills.
- Covers the 20% Original Medicare doesn't pay
- No network restrictions — see any Medicare-accepting doctor
- Predictable monthly costs with fewer surprises
- Guaranteed renewable as long as you pay your premium
Original Medicare vs. Medicare Supplement
A quick comparison to help you understand the difference.
When Can You Enroll?
Missing your enrollment window can mean late penalties and gaps in coverage. Here's what you need to know.
Initial Enrollment Period
A 7-month window that begins 3 months before your 65th birthday month and ends 3 months after. This is the best time to enroll to avoid late penalties.
Open Enrollment Period
Runs October 15 – December 7 each year. During this time you can switch, join, or drop a Medicare Advantage or Part D plan, with coverage starting January 1.
Special Enrollment Period
If you have employer coverage past 65, you may qualify for a Special Enrollment Period when that coverage ends — allowing you to enroll without penalty.
Not Sure Which Plan Is Right for You?
That's exactly what we're here for. We'll review your health needs, your budget, and your doctors — and help you find the Medicare plan that makes the most sense for your situation.