You probably never thought about Medicare until you started to get close to age 65. (Don't worry, no one does!)
But making the right Medicare coverage choices might be among the most important decisions of your life.
Medicare is the federal health insurance program for people who:
Medicare parts A & B cover 80% of the cost of Medicare covered services. The remaining 20% is your responsibility. In the table below we have summarized your main options to receive coverage.
Our team is here to help educate you on Medicare and answer your questions. Our service is free to you. Talk to a member of our team
Usually you should enroll in Medicare three months before your 65th birthday. You could also be entitled to special enrollment periods.
You have two options to receive your Medicare coverage. Both require that you have Medicare Part A and Part B.
Original Medicare | Medicare Advantage | |||
Original Medicare Parts A & B | Original Medicare & Medicare Supplement | PPO | HMO | |
---|---|---|---|---|
Summary |
Covers 80% of Medicare Approved Services |
Fills gaps in Original Medicare |
Out of network benefits |
Predictable Costs |
Premium ***Estimated Cost |
Monthly Part B premium (*$144.60) |
Monthly Part B premium (*$144.60) & Cost for **Medigap Plan |
Monthly Part B premium (*$144.60) & Plan Premiums Starting at **$0 |
Monthly Part B premium (*$144.60) & Plan Premiums Starting at **$0 |
Prescription Drugs |
Not covered |
Requires a PDP at additional cost |
Typically included |
Typically included |
Network |
Providers that Accept Medicare Assignment (No Referrals) |
Providers that Accept Medicare Assignment (No Referrals) |
Provider Network & Out-of-Network option at higher cost (No Referrals) |
Must Use Provider Network (Referrals may be required) |
Additional Benefits | None | Limited Benefits | Dental, Vision, Hearing, OTC, Gym and more | Dental, Vision, Hearing, OTC, Gym and more |
Original Medicare | |
Original Medicare Parts A & B | |
---|---|
Summary | Covers 80% of Medicare Approved Services |
Premium ***Estimated Cost | Monthly Part B premium (*$144.60) |
Prescription Drugs | Not covered |
Network | Providers that Accept Medicare Assignment (No Referrals) |
Additional Benefits | None |
Original Medicare & Medicare Supplement | |
---|---|
Summary | Fills gaps in Original Medicare |
Premium ***Estimated Cost | Monthly Part B premium (*$144.60) & Cost for **Medigap Plan |
Prescription Drugs | Requires a PDP at additional cost |
Network | Providers that Accept Medicare Assignment (No Referrals) |
Additional Benefits | Limited Benefits |
Medicare Advantage | |
PPO | |
---|---|
Summary | Out of network benefits |
Premium ***Estimated Cost | Monthly Part B premium (*$144.60) & Plan Premiums Starting at **$0 |
Prescription Drugs | Typically included |
Network | Provider Network & Out-of-Network option at higher cost (No Referrals) |
Additional Benefits | Dental, Vision, Hearing, OTC, Gym and more |
HMO | |
---|---|
Summary | Predictable Costs |
Premium ***Estimated Cost | Monthly Part B premium (*$144.60) & Plan Premiums Starting at **$0 |
Prescription Drugs | Typically included |
Network | Must Use Provider Network (Referrals may be required) |
Additional Benefits | Dental, Vision, Hearing, OTC, Gym and more |
Learn how to sign up for Medicare
Learn more about Part B of Medicare
We frequently answer questions about Medicare enrollment and eligibility. You don't have to figure it out on your own.