What is "Original" Medicare?

The term “Original Medicare” refers to Medicare Part A and Part B. Part A helps cover the cost of hospital-related care, including inpatient services, lab tests and surgery. Part B is the medical insurance component of Medicare, which helps cover doctor visits, outpatient care and certain preventive services. Both Part A and Part B are administered by the federal government.

What is a Medicare Advantage plan?

Medicare Advantage plans are offered by private insurance companies—like Humana—contracted by the federal government. Medicare Advantage, also referred to as Medicare Part C, covers the same healthcare services as Original Medicare, with the exception of hospice care. Many Medicare Advantage plans also include prescription drug coverage.

In addition, many Medicare Advantage plans include coverage for vision, dental and hearing care. Health and wellness benefits like fitness programs may be offered, as well.

Are prescription drugs covered by Medicare?

There are 2 ways to get Medicare prescription drug coverage:

  1. You can choose a Medicare Advantage plan that includes prescription drug coverage (these are called Medicare Advantage prescription drug plans).
  2. You can purchase a stand-alone prescription drug plan—called Part D—to add to your Original Medicare
    Your out-of-pocket costs for prescription drug deductibles, copays and coinsurance vary from plan to plan. Be sure to check each plan’s Drug List (list of covered drugs) to see what drugs are covered.

Who is eligible for Medicare?

Turning 65 is one way you can be eligible for Medicare. You can also be under 65 years old and still qualify for Medicare if you receive Social Security Disability Insurance or SSDI. Please contact Ron Gordon to discuss your eligibility.

How long before I turn 65 should I apply for Medicare?

You can enroll in Medicare during the seven-month period that begins three months before the month you turn 65. Coverage can start as early as the month of your 65th birthday.

Do I have to be on Medicare when I turn 65?

No. People with group health policies through their employer generally do not have to sign up for Medicare when they turn 65. You can keep your employer coverage until you retire. You will then have eight months to sign up for Medicare without facing any penalties for late enrollment.

Can I make changes to my plan once I'm enrolled?

Yes. You can make changes to your coverage each year during Medicare’s Annual Election Period (AEP), which lasts from October 15th to December 7th, or in certain special election periods.

Have more questions?

Attend a Medicare informational meeting!