Understanding Medicare: A Guide for Those Turning 65

What is Medicare?

• Medicare is a federal government program providing health care coverage.
• It is similar to commercial health insurance.

Who Qualifies for Medicare?

1. U.S. citizens aged 65 and older.
2. U.S. citizens under 65 with:
   • Disabilities
   • End-stage renal disease or ALS
   • Special health situations

Parts of Medicare

Medicare is divided into four parts:

Part A: Hospital Coverage

• Covers hospital stays, skilled nursing facilities, hospice care, and some home health care.

Part B: Provider Outpatient Coverage

• Covers doctor visits, outpatient care, some home health care, and durable medical equipment (e.g., walkers, wheelchairs).

Part C: Medicare Advantage

• Includes everything in Parts A and B.
• Often includes additional benefits like hearing, dental, vision, and prescription drug coverage.

Part D: Prescription Drug Plan

• Offers multiple plans that can vary in benefits (e.g., cost sharing).

Coverage Options

There are two main options for Medicare coverage:

Option 1: Original Medicare

• Enroll in Parts A and B.
• Government pays 80% of health care bills; you pay 20% with no out-of-pocket maximum.
• Many people add a Medicare Part D plan and a Medicare Supplement Insurance Plan.

Option 2: Medicare Advantage

• Bundles Parts A and B, often Part D.
• May cover vision, hearing, transportation, and more.
• Provides more comprehensive coverage than Original Medicare.

Next Steps

1. Learn more about coverage options:
   • Visit medicare.gov.
   • Contact local health plans.
   • Connect with a licensed Medicare insurance agent.
2. For personalized help, contact brokers who can guide you through choosing the best plan.

Additional Help

• Assistance is available to connect you with resources and answer your questions about Medicare.