Are you approaching 65 and feeling overwhelmed by Medicare? You’re not alone. Every day, tens of thousands of people turn 65, and for many, their only exposure to Medicare is the flood of mailers they receive in the months leading up to their birthday. Let us simplify the process and provide the clear, personalized guidance you need to make confident decisions about your coverage.
- Medicare is the federal health insurance program in the United States designed primarily for individuals aged 65 or older. It also provides coverage for younger individuals diagnosed with specific disabilities or health conditions, such as:
- End-stage renal Disease (ESRD): A condition requiring regular dialysis or a kidney transplant.
- Lou Gehrig’s Disease (ALS): A progressive neurodegenerative disease.
- Medicare serves as a vital resource for millions, offering access to healthcare services and reducing financial burdens associated with medical care.
What is Medicare?
Medicare is the federal health insurance program in the United States designed primarily for individuals aged 65 or older. It also provides coverage for younger individuals diagnosed with specific disabilities or health conditions, such as:
End-Stage Renal Disease (ESRD): A condition requiring regular dialysis or a kidney transplant.
Lou Gehrig’s Disease (ALS): A progressive neurodegenerative disease.
Medicare serves as a vital resource for millions, offering access to healthcare services and reducing financial burdens associated with medical care.
Medicare Cost
What you pay for Medicare will vary based on what coverage and services you get, and what providers you visit. What are my coverage options?
There’s no yearly limit on what you pay out-of-pocket, unless you have supplemental coverage, like a Medicare Supplement Insurance (Medigap) policy, or you join a Medicare Advantage Plan.
Parts of Medicare
Medicare is divided into four parts. While you may not need to enroll in all of them, it’s important to understand what each part offers. This knowledge will help you make informed decisions about which parts best meet your healthcare needs.
Originating in the 1960s, Medicare is a government-provided fee-for-service insurance program intended primarily for seniors. The program encompasses several distinct parts, each of which is outlined below.
- Medicare Part A covers facility-based care such as hospital visits, emergency room services, hospice, and nursing home care.
- Medicare Part B covers traditional outpatient treatments and services, including vaccinations, lab tests, mental health services, outpatient operations, durable medical equipment, and most other medical services not performed in a hospital.
- Medicare Part C (Medicare Advantage) covers elements of Parts A, B, and sometimes D.
- Medicare Part D covers prescription drugs.
- Medigap comes through private insurance companies and aims to fill in the “gaps” left in the traditional Medicare coverage.
Know Your Choices
While standard Medicare offers coverage for a wide variety of services, you may find that a different plan through a separate insurance carrier better fits your needs. If you are interested in an alternative plan, we can help you find coverage through either Medigap or Medicare Advantage. Both of these plans offer additional support through third-party insurers, and they are required to provide equal or better coverage when compared to regular Medicare.
Contact Us Today
If you believe that Medigap or Medicare Advantage is right for you, contact us today to discuss your insurance options.
*Disclaimer: This page has not been reviewed or endorsed by Medicare.gov or any member of the Centers for Medicare & Medicaid Services (CMS).
