MEDICARE - FREQUENTLY ASKED QUESTIONS
What is Original Medicare?
Original Medicare, also known as 'Traditional Medicare,' consists of two parts (Part A and Part B) and serves as the primary payer for your coverage. For those exploring additional options, Medicare Advantage plans and Medicare supplement plans are available during Medicare enrollment to enhance your healthcare benefits.
How much will my Medicare Part A cost?
For most individuals, there is no monthly cost for Part A of Medicare, which is why it is often referred to as 'premium-free.' However, if you need to purchase Part A, you will incur a monthly premium of $311 or $565 per month for 2026. It's important to consider how this interacts with your Medicare Advantage plans or Medicare supplement plans during your Medicare enrollment.
What does Medicare Part A cover?
Medicare Part A, commonly known as 'Hospital Insurance', covers inpatient hospital care, skilled nursing facility care, hospice, lab tests, surgery, and home health care. When considering Medicare enrollment, it's important to also understand how Medicare Advantage plans and Medicare supplement plans can enhance your coverage options.
How much will my Medicare Part B cost?
The Medicare Part B standard or base premium for 2026 is $202.90 per month. Most people will pay this standard amount, but if your modified adjusted gross income exceeds a certain level, you’ll pay the standard premium plus an income-related monthly adjustment amount (IRMAA). This is important to consider during Medicare enrollment, especially if you are looking at Medicare Advantage plans or Medicare supplement plans.
What does Medicare Part B cover?
Medicare Part B, often referred to as 'Medical Insurance', covers services from doctors and medical providers, outpatient care, durable medical equipment, home health care, and some preventive care. During Medicare enrollment, individuals may also explore options like Medicare Advantage plans and Medicare supplement plans for additional coverage.
What is a Medicare supplement plan?
Medicare supplement plans, commonly referred to as 'Medigap' coverage, can help cover the expenses not included in Original Medicare, such as deductibles, copays, and coinsurance. If you're exploring your options, it's important to also consider Medicare Advantage plans during your Medicare enrollment period. Learn more about the 10 standardized Medicare supplement plans available to you.
How do I apply for Medicare?
Social Security processes Medicare enrollments, providing you with several options for enrolling in Medicare Advantage plans or Medicare supplement plans. You can apply over the phone, in person, or through the mail.
Medicare Initial Enrollment Period
If you're new to Medicare, understanding Medicare enrollment timing is crucial to avoid late enrollment penalties and prevent gaps in your coverage.
Initial Enrollment Period
The Initial Enrollment Period (IEP) is your first opportunity to sign up for Medicare, including Medicare Advantage plans and Medicare supplement plans. This enrollment period lasts for 7 months, starting 3 months before the month you turn 65 and continuing for 3 months after your 65th birthday month.
For example, if your 65th birthday falls in June, your Initial Enrollment Period begins March 1 and will conclude on September 30.
How to apply for Medicare?
If you're new to Medicare, understanding Medicare enrollment timing is crucial to avoid late enrollment penalties and prevent gaps in your coverage.
Initial Enrollment Period
The Initial Enrollment Period (IEP) is your first opportunity to sign up for Medicare, including Medicare Advantage plans and Medicare supplement plans. This enrollment period lasts for 7 months, starting 3 months before the month you turn 65 and continuing for 3 months after your 65th birthday month.
For example, if your 65th birthday falls in June, your Initial Enrollment Period begins March 1 and will conclude on September 30.
3 Ways to Apply for Medicare
Online
In-person
Online
You can typically complete your Medicare enrollment for Medicare Advantage plans in less than ten minutes through the online application, whether you’re considering a Medicare supplement plan or exploring other options.
Phone
In-person
Online
You can call Social Security to schedule an appointment for a phone interview regarding your Medicare enrollment, including options for Medicare Advantage plans and Medicare supplement plans.
In-person
In-person
In-person
To explore your options for Medicare Advantage plans or Medicare supplement plans, apply at your local Social Security office by walking in or by calling to schedule a Medicare enrollment appointment.
Medicare Supplements (Medigap)
Medicare supplement plans play a crucial role in covering some of the out-of-pocket expenses not addressed by Medicare Parts A and B. During Medicare enrollment, many individuals explore these options alongside Medicare Advantage plans to find the best coverage for their needs.
Medicare Advantage (Part C)
Medicare supplement plans play a crucial role in covering some of the out-of-pocket expenses not addressed by Medicare Parts A and B. During Medicare enrollment, many individuals explore these options alongside Medicare Advantage plans to find the best coverage for their needs.