Navigating Medicare can feel overwhelming, especially with so many options and rules to understand. To help, we’ve answered five of the most frequently asked questions about Medicare, from enrollment to benefits.
1. When Am I Eligible for Medicare?
Most people become eligible for Medicare at age 65. However, you may qualify earlier if:
- You have a qualifying disability and have received Social Security Disability Insurance (SSDI) for at least 24 months.
- You have End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS).
Tip: It’s a good idea to start researching your options about three months before you turn 65 to ensure a smooth enrollment process.
2. What Are the Different Parts of Medicare?
Medicare is divided into four parts:
- Part A: Hospital insurance that covers inpatient stays, skilled nursing facility care, and some home health services.
- Part B: Medical insurance that covers outpatient care, doctor visits, preventive services, and durable medical equipment.
- Part C (Medicare Advantage): An alternative to Original Medicare, these plans are offered by private insurers and often include additional benefits like dental, vision, and hearing coverage.
- Part D: Prescription drug coverage, offered through private plans to help cover the cost of medications.
3. What If I Miss My Initial Enrollment Period (IEP)?
If you miss your IEP, you may have to wait until the General Enrollment Period (January 1–March 31) to sign up, and late penalties may apply. Special Enrollment Periods (SEPs) are available for qualifying life events, such as losing employer coverage.
Tip: Enroll on time to avoid penalties and gaps in coverage.
4. Does Medicare Cover Dental, Vision, and Hearing Services?
Original Medicare generally does not cover routine dental, vision, or hearing care. However, some Medicare Advantage plans include these benefits. If these services are important to you, consider exploring Medicare Advantage plans or standalone insurance policies.
5. How Can I Lower My Medicare Costs?
To manage costs:
- Choose the Right Plan: Compare plans during enrollment periods to find one that fits your healthcare needs and budget.
- Apply for Assistance: Programs like Medicaid, the Medicare Savings Program, and Extra Help can reduce costs for those with limited income.
- Use Preventive Services: Take advantage of Medicare-covered screenings and wellness visits to catch health issues early.
Get Expert Help with Your Medicare Questions
Understanding Medicare doesn’t have to be complicated. If you have questions or need assistance selecting the right plan, our team is here to help.
Contact us today to learn more about your options and make informed decisions about your healthcare.
