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What Does Medicare Cover in General?

Medicare is a federally-funded health insurance program that covers eligible individuals 65 years or older, as well as those under 65 who have specific disabilities or end-stage renal disease. Medicare generally covers hospitalization, doctor visits, preventive services, and some prescription drugs administered in a hospital or by a doctor in their clinic.


Individuals may enroll in Medicare Part A & B through the federal government's website or by contacting their local Social Security office. Generally, individuals who are already receiving Social Security benefits will be automatically enrolled in Medicare Parts A and B. Parts C and D also require active enrollment with a private health plan.
Medicare Part A

Medicare Part A covers hospital inpatient costs if you are admitted to a hospital by a doctor, in addition to hospice care, some at-home care, and some skilled nursing facility care.

What it Covers
  • Hospital care (inpatient)
  • Limited home health services
  • Temporary care in a skilled nursing facility (SNF) after an inpatient hospital stay,provided that custodial care not be the only care required
  • Hospice care
Medicare Part B

Medicare Part B covers preventive healthcare, such as yearly doctor visits and tests, cancer screenings, some vaccinations, diabetes supplies, and ambulance and emergency room services.

What it Covers
  • Visits to a healthcare facility
  • Ambulance services
  • Part-time or temporary home health care
  • Rehabilitation services and physical therapy
  • Cardiovascular, cancer, and diabetes screenings
  • Mental health services
  • Clinical research
  • Durable medical equipment
  • Limited outpatient prescription drugs
  • Flu and hepatitis b shots
Part C (Medicare Advantage)

Medicare Part C, also known as Medicare Advantage plans, are offered by Medicare-approved private insurance companies that must follow rules set by Medicare. It includes all the coverage of Medicare Parts A and B, and some plans may include additional coverage for services such as dental care (including X-Rays), vision care, and hearing care, plus some fitness benefits (such as coverage for gym memberships).

Medicare Part D

Medicare Part D covers prescription drugs not covered by Part B, which covers medication that needs to be administered by a doctor (such as injections). Part D covers outpatient prescription drugs, like those picked up at the pharmacy or delivered in the mail.

What You Need to Know About Medicare Supplement Insurance

If you're enrolled in Medicare, you may be considering purchasing a Medigap. Medigap is private health insurance that can help pay for out-of-pocket costs not covered by Medicare, such as copayments, coinsurance, and deductibles.

In most states, 10 government-standardized Medigap plan types are available, which differ in coverage, premiums, and cost-sharing features. When deciding whether to purchase a Medigap policy, you must consider your health care needs and budget to determine which type of policy makes the most sense for you.
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The purpose of this website is insurance solicitation.

This privately-owned website contains basic information about Medicare, services related to Medicare, private Medicare, Medigap, and services for people with Medicare. The information on this website allows users to learn more about Medicare insurance options in their area and speak with officially licensed insurance agents.   Please visit the Official US Government Site: Medicare.gov for more information about the Government Medicare program. This website is not associated, endorsed, or authorized by the Center for Medicare and Medicaid Services or any other government entity.

Participating sales agencies represent Medicare Advantage [HMO, PPO and PFFS] organizations that are contracted with Medicare. Enrollment depends on the plan’s contract renewal. Enrollment in a plan may be limited to certain times of the year unless you qualify for a special election/enrollment period or you are in your Medicare Initial Election Period. Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply. 

We do not offer every plan available in your area. Currently we represent zero organizations which offer zero products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Comparison Of Medicare Supplement Plans

Medicare Supplement Plans are regulated by state and federal laws, which means that supplementary plans (A, B, C, etc.) are the same, regardless of the insurance company.


No matter which plan you choose, you'll need to pay a monthly premium in addition to your Medicare Part B premium. You may also be responsible for meeting an annual deductible before your coverage kicks in.
Who Should Buy Medicare Supplement Insurance?
Many individuals with advanced medical and healthcare needs may desire additional coverage. Medicare Supplement Insurance (Medigap) plans may reduce some out of pocket costs.
How do I get a Medicare Supplement Insurance plan?
Medicare Supplement insurance plans can only be purchased if you already have Medicare coverage (Parts A and B). If you do, you can purchase Medicare Supplement (Medigap) plans from private insurance companies.
Medicare Part A, B & Medigap
Medigap is a supplementary plan designed to cover healthcare costs not covered by Medicare. It can only be purchased by individuals already enrolled in Medicare Part A and B. If you choose to enroll in a Medigap policy, you will pay a private insurance company a monthly premium, in addition to the premium you pay for your Part B Medicare plan. A Medigap policy only covers one person and can only be purchased from private insurance companies.

*Note beneficiaries can have Medicare Advantage or Medigap, but not both.
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How Much Does Medicare Insurance Cost?

The cost of Medicare insurance varies depending on the plan that is selected. Typically, the monthly premium for Medicare Part A (hospital insurance) is $0 for people who have worked and paid Medicare taxes for at least 10 years. Part B premium costs are fixed for all, and only adjusted based on income.
Part A

Most people don't pay a monthly premium for Part A. However, if you don't qualify for Part A, your monthly premium can cost up from $278 or $506 in 2023, depending on how long you or your spouse worked and paid into Medicare taxes. Your deductible for the year is $1,600 in 2023, before Original Medicare begins to pay. (source)

Part B

For Part B, the standard monthly premium in 2023 is $164.90 but may be higher depending on your income. After your deductible is met, you typically pay 20% of the Medicare-approved amount for medical services. (source)

Part C & D

The Part C and Part D plans costs vary depending on your plan and insurance company.

Frequently Asked Questions
Medicare Insurance Quotes FAQs
Is Medicare Part A free at age 65?

To be eligible for premium-free Part A at age 65, you must meet one of the following criteria:
-You or your spouse-maintained Medicare-covered job, paying 10 years in taxes while employed.
-Currently, you receive retirement benefits from the Railroad Retirement Board or Social Security.
-You qualify for Railroad benefits or Social Security, but haven't yet applied.

If you are not age 65, you could qualify for premium-free Part A if you meet one of the following criteria:
-You have an End-Stage Renal Disease (ESRD) diagnosis and meet specific requirements.
-For 24 months, you have gotten Railroad Retirement Board or Social Security benefits.
-In most situations, if someone decides to buy Part A, they also have to have Medicare Part B (Medical Insurance) and pay each monthly premium.

How much does Medicare cost each month?

The cost of your Medicare will depend on which plans you are enrolled in.
You generally pay a monthly premium for your Medicare coverage and a portion of the costs each time you get a covered service. With Original Medicare, there is no yearly limit on what you pay out-of-pocket. This is why many individuals choose Medicare Advantage.

How do I enroll in Medicare?

You can enroll for Original Medicare (Part A and Part B) through Medicare.gov. Medicare Advantage plans, Part D plans, and Medigap plans must be purchased through private insurance companies.

How can I compare Medicare plans?

Medicare.gov’s Medicare Plan Finder is the best tool for you to search and compare Medigap Policies, Medicare Health Plans, and Prescription Drug Plans.

You may want to compare plans to ensure that you have a plan that meets your health needs.
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When Is Annual Enrollment Period For Medicare?

Medicare Fall Annual Enrollment for 2023 is October 15th to December 7th, 2022.

Does Medicare have deductibles?

Yes, there are deductibles for Original Medicare.

Does Medicare Cover Telehealth? 

Telemedicine/Telehealth is covered by Medicare Part B.

What is Medicare Advantage?

Medicare Advantage plans must include all the portions of Parts A & B, and many plans also include Part D (prescription drug coverage).

What is Medigap?

A Medigap policy can help pay some of the remaining costs leftover from Original Medicare, like copayments, coinsurance, and deductibles.

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