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Medicare basics

Medicare basics, in plain English.

Medicare is made of parts. You don't need all of them, but it helps to know what each one does.

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How the pieces fit

Two main ways to put it together.

Most people end up with one of these two setups.

Medicare

Option one

Original Medicare

Part A and Part B, run by the federal government.

Part AHospital insurance
Part BMedical insurance
+ Part D drug planYou add it
+ MedigapOptional

Option two

Medicare Advantage

One plan from a private company.

Part CCovers what Part A and Part B cover

Worth knowing: Medigap only works with Original Medicare. It can't be used to cover your costs in a Medicare Advantage plan.

The parts of Medicare

Five pieces, each with a job.

APart A

Hospital insurance

Helps cover inpatient hospital care, skilled nursing facility care, hospice care and home health care.

BPart B

Medical insurance

Helps cover doctor's services, outpatient care, some home health services, medical equipment, mental health services and many preventive services.

CPart C

Medicare Advantage

A Medicare-approved plan from a private company that you can choose instead of Original Medicare. It bundles Part A and Part B.

DPart D

Drug coverage

Helps pay for prescription drugs. You get it through a separate Medicare drug plan, or through a Medicare Advantage plan that includes it.

+Medigap

Medicare Supplement

Insurance from a private company that helps pay some of the costs Original Medicare doesn't. It works alongside Original Medicare, and you need Part A and Part B to buy it.

Beyond the five parts

A few things people often ask about.

Original Medicare doesn't cover most routine dental care, eye exams for glasses, or hearing aids. Special Needs Plans serve people with specific needs.

The two-minute version

Medicare basics, in plain English.

Before we start

Let's make this simple.

Six short cards, about two minutes, no jargon.

Tap the arrow below to start →

The basics

What is Medicare Advantage?

A way to get your Medicare coverage through a private plan approved by Medicare, instead of directly through the government. What each plan includes varies, so the details are worth going through one at a time.

How it fits together

The pieces cover different things.

Original Medicare, Medicare Advantage, and Part D each play a different role. Which combination makes sense depends on your prescriptions, doctors, and budget, not a one-size-fits-all answer.

Worth knowing

Three words that come up a lot.

Premium
What you pay, usually monthly, to have the plan.
Deductible
What you pay before the plan starts covering costs.
Network
The doctors and hospitals a plan works with.

Timing

Dates that matter.

Enrollment windows open at specific times each year. Missing one doesn't mean losing coverage, but it can mean waiting. Worth knowing before you need to act.

Your turn

Ready to see your own options?

Takes about five minutes, matched to your own situation.

Card 1 of 6

Words you'll hear

A short glossary.

PremiumWhat you pay, usually monthly, to have coverage.
DeductibleWhat you pay before your coverage starts paying.
NetworkThe doctors and hospitals a plan works with.
Prior authorizationApproval a plan may require before it covers certain services.
Original MedicarePart A and Part B, run by the federal government.

Want help with the next step?

A Licensed Insurance Agent can walk you through your options, or you can start comparing plans on your own. There is no obligation to enroll.