Medicare can feel confusing at first. With different parts, plans, and deadlines, many seniors are unsure what is covered and what is not. Understanding the basics makes it easier to choose the right coverage and avoid costly mistakes.
What Is Medicare?
Medicare is a federal health insurance program for people age 65 and older. Some younger individuals with certain disabilities also qualify.
It helps cover medical costs, but it does not pay for everything. Knowing what each part covers is key.
The Four Parts of Medicare
Medicare is divided into four main parts.
Part A
Covers hospital stays, skilled nursing care, hospice, and limited home health care. Most seniors do not pay a monthly premium for
Part B
Covers doctor visits, outpatient care, preventive services, and medical equipment. Part B requires a monthly premium.
Part C (Medicare Advantage)
Offered by private insurance companies. These plans combine Parts A and B and often include extra benefits like dental or vision coverage.
Part D
Covers prescription drugs. Part D plans are optional but helpful for managing medication costs.
What Medicare Does Not Cover
Medicare does not cover everything.
Common exclusions include:
Many seniors choose additional coverage to fill these gaps.
When to Enroll in Medicare
Enrollment usually begins three months before turning 65 and ends three months after.
Missing this window can result in:
It is important to review enrollment dates carefully.
Medicare Supplement Plans
Medicare Supplement plans, also called Medigap, help pay for costs that Original Medicare does not cover, such as copayments and deductibles.
These plans are optional and offered by private insurers.
Choosing the Right Medicare Coverage
The right choice depends on:
Comparing plans annually helps ensure coverage still meets your needs.
Common Medicare Mistakes to Avoid
Some common mistakes include:
Avoiding these mistakes can save money and frustration.
Final Thoughts
Medicare does not have to be overwhelming. Understanding the basics helps seniors make informed decisions and get the most from their coverage.
Taking time to learn your options now can prevent problems later and provide greater peace of mind.