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Understand Your Medicare Benefits

Everything you need to know to get started - in plain English.

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Medicare is the federal health insurance program for people 65 and older.

It also covers people under 65 with certain disabilities or conditions. It is administered by the U.S. federal government (CMS - Centers for Medicare and Medicaid Services) and is divided into parts: A, B, C, and D.

What's the difference between Part A, B, C and D?

Part A - Hospital Insurance

Covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health services. Most people pay $0/month for Part A if they worked 10+ years and paid Medicare taxes.

Part B - Medical Insurance

Covers doctor visits, specialists, labs, imaging (X-rays, MRIs), and medical equipment. The standard 2025 premium is $185/month, deducted from Social Security. Annual deductible is $257.

Part C - Medicare Advantage

Plans from private insurers that replace Original Medicare (A + B) and usually include extras: dental, vision, hearing, gym, and transportation. Many have $0/month premiums. Requires using the plan's doctor network.

Part D - Prescription Drug Coverage

Covers prescription medications. Purchased as a separate plan (with Original Medicare) or already included in many Medicare Advantage plans. Costs vary by plan and the medications you take.

What is a Medigap or Supplement plan?

Medigap plans are added to Original Medicare (Parts A and B) to cover costs that Medicare doesn't fully pay: deductibles, copays, and coinsurance. They don't replace Medicare - they supplement it. You can see any doctor in the country that accepts Medicare, with no network restrictions. They have an additional monthly premium, but can significantly reduce unexpected expenses.

When can I enroll or change my plan?

Initial Enrollment Period (IEP)

7 months around your 65th birthday: 3 months before, your birthday month, and 3 months after. This is your main window to enroll without penalties.

Annual Enrollment Period (AEP)

October 15 – December 7. You can change your Medicare Advantage plan or your prescription drug plan (Part D). Changes take effect January 1.

Annual Enrollment Period (OEP)

January 1 – March 31. If you already have a Medicare Advantage plan, you can change it once or switch back to Original Medicare.

Special Enrollment Period (SEP)

Certain life events give you a special enrollment window: moving to a new area, losing employer coverage, changes in Medicaid, or your plan leaving your area. Generally lasts 60 days from the event.

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Medicare Advantage vs. Medigap

Which one is right for you? It depends on your health, doctors, and budget.

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Medicare Advantage
(Part C)
BEST FOR

People who prefer low premiums and don't have many doctor visits or medications.

Monthly premium: $0 in many plans

Extras: Includes Part D (medications) in many cases

Doctors: Limited network (HMO/PPO)

Out-of-pocket: Up to $5,000–$8,000/year

Extras: Dental, vision, hearing available

🛡️
Medigap (Supplement)
Medicare Supplement
BEST FOR

People with chronic conditions or who see many specialists.

Monthly premium: $100–$300/month typical

Doctors: Any doctor that accepts Medicare

Out-of-pocket: Very predictable and low

Medications: Requires Part D separately

Extras: Does not include dental or vision

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Everything You Need for Medicare
Personalized service, 100% free. By law, Medicare agents cannot charge you.

Medicare Advantage (Part C)

All-in-one plans that include hospital, doctor, and sometimes vision, dental and medications. Many with $0 premium.

Part D (Prescriptions)

Prescription drug coverage. We help you find the plan that covers YOUR medications at the lowest cost.

Medigap (Supplement)

Insurance that covers what Original Medicare doesn't pay: copays, deductibles, and emergencies outside the country.

Ready to find your plan?

The comparison is free, with no obligation.

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Or if you prefer: Call Us · Schedule Appointment