Frequently Asked Questions
Medicare Basics
Start with the fundamentals of Medicare, including eligibility, enrollment, and how the different parts work together.
Most people first become eligible for Medicare around age 65, although some people may qualify earlier because of disability or certain medical conditions. Your enrollment timing can depend on your individual situation.
Part A helps cover hospital and certain inpatient care. Part B helps cover doctor visits, outpatient care, preventive services, and other medical services. Part C, also called Medicare Advantage, is an alternative way to receive your Medicare benefits through a Medicare-approved private plan. Part D helps cover prescription drugs.
Medicare is a federal health insurance program primarily for people age 65 and older, as well as certain younger people with disabilities or specific conditions. It includes different parts that help cover hospital care, medical services, and prescription drugs.
Not everyone is enrolled automatically. Whether you need to sign up can depend on factors such as whether you are already receiving Social Security benefits.
Enrollment
Get clear on when to enroll, whether you can delay coverage, and what to know about possible late-enrollment penalties.
Not always. Some people may be able to delay certain parts of Medicare if they have qualifying coverage through current employment. Because the rules depend on the type of coverage you have, it is important to review your individual situation before delaying enrollment.
Yes, late-enrollment penalties can apply in some situations, including Part B and Part D. For Part D, going 63 days or more without Medicare drug coverage or other creditable drug coverage can result in a penalty.
Your enrollment period depends on your situation, including whether you are turning 65, still working, or covered by an employer plan. Missing certain enrollment periods can sometimes lead to delayed coverage or late-enrollment penalties.
Coverage Options
Understand the differences between Original Medicare, Medicare Advantage, Part D, and Medicare Supplement coverage.
No. Medigap is designed to work with Original Medicare, not Medicare Advantage.
Medicare Supplement Insurance, also called Medigap, is private insurance that works alongside Original Medicare and can help pay some of the costs that Original Medicare does not pay, such as certain deductibles and coinsurance amounts.
Original Medicare includes Part A and Part B and allows you to use any doctor or hospital in the U.S. that accepts Medicare. Medicare Advantage is offered through Medicare-approved private companies and combines Part A and Part B coverage, usually with Part D, into a private health plan. Medicare Advantage plans may also include additional benefits such as dental, vision, or hearing coverage.
Many Medicare Advantage plans include Part D prescription drug coverage, although plan benefits vary.
No. If you have Original Medicare and want prescription drug coverage, you can generally join a separate Medicare Part D plan.
Costs & Doctors
Learn how Medicare costs can vary and what to consider when it comes to keeping your doctors and managing out-of-pocket expenses.
Medicare costs vary depending on the coverage you choose, your income, and the services you use. Most people do not pay a premium for Part A, while Part B generally has a monthly premium. Medicare Advantage, Part D, and Medigap costs vary by plan.
That depends on your coverage. With Original Medicare, you can generally see any doctor or hospital in the U.S. that accepts Medicare. Medicare Advantage plans may use provider networks, so you should check whether your doctors participate in the plan you are considering.
Working with Michele
Find out how Michele can help you understand your options, prepare for an appointment, and make Medicare feel less overwhelming.
It can be helpful to have a list of your current doctors, prescriptions, preferred pharmacies, existing insurance information, and any questions or concerns you have about Medicare.
Michele can help you understand your Medicare options, compare available plans, and talk through factors such as doctors, prescriptions, budget, and coverage preferences so you can make an informed decision.
Yes. Even if you already have Medicare, she can help you review your current coverage and discuss whether other available options may better fit your needs.
No. There is no cost to work with Michele. She can help you understand your Medicare options, compare available plans, and answer your questions so you can make an informed decision with confidence.
