New to Medicare? Here are the Answers to Your Medicare Coverage Questions

By Brian Krantz - March 18, 2023

new to medicare

We understand that Medicare can be a complex and confusing topic, especially for those who are new to the system. In this article, we aim to provide comprehensive information and answer all your questions regarding Medicare coverage. Our goal is to help you make informed decisions about your healthcare and ensure that you have the coverage you need.

What is Medicare?

Medicare is a federal health insurance program for people who are 65 years or older, certain younger people with disabilities, and those with end-stage renal disease. It is divided into four parts: Part A, Part B, Part C, and Part D. Let’s take a closer look at each of these parts:

  • Part A: Hospital insurance that covers inpatient hospital care, hospice care, and skilled nursing facility care.
  • Part B: Medical insurance that covers doctor services, outpatient care, medical supplies, and preventive services.
  • Part C: Medicare Advantage, which is a combination of Part A, Part B, and sometimes Part D coverage offered by private insurance companies.
  • Part D: Prescription drug coverage that helps pay for the cost of prescription drugs.

Questions to Ask When New to Medicare

Here are some of the most common questions that people have when they are new to Medicare:

  • When can I enroll in Medicare?

You can enroll in Medicare during your Initial Enrollment Period (IEP), which is a seven-month period that starts three months before the month you turn 65 and ends three months after your birthday month. If you miss your IEP, you can enroll during the General Enrollment Period (GEP) that runs from January 1 to March 31 each year.

  • Do I have to enroll in all parts of Medicare?

No, you can choose which parts of Medicare to enroll in based on your healthcare needs. However, it is recommended that you enroll in both Part A and Part B to ensure that you have comprehensive coverage.

  • How much does Medicare cost?

The cost of Medicare depends on the parts you enroll in and your income. Part A is usually free for most people, while you will have to pay a monthly premium for Part B. Part C and Part D are offered by private insurance companies, and the cost varies depending on the plan you choose.

  • Will Medicare cover all my healthcare needs?

Medicare does not cover all healthcare services, so it may not cover all of your healthcare needs. For example, Medicare does not cover long-term care, dental care, hearing aids, or vision care. However, Medicare does provide coverage for a wide range of medical services, such as hospital stays, doctor visits, and prescription drugs. Additionally, some Medicare Advantage plans may offer extra benefits that are not covered under Original Medicare, such as dental, vision, or hearing care. It’s important to carefully review your plan’s benefits and coverage options to determine what services are covered and which are not.

  • How do I choose a Medicare plan?

You can compare Medicare plan with the help of a licensed insurance agent. Consider factors such as the cost, coverage, and provider network when choosing a plan that works for you.

In conclusion, understanding Medicare coverage can be overwhelming, but we hope that this article has helped answer some of your questions. Remember that Medicare is a personal decision, and what works for someone else may not work for you. Take the time to research your options and choose a plan that meets your unique healthcare needs. The team of New York Medicare agents at Plan Medicare can help educate you on all of your Medicare options. Give us a call 516-900-7877 for your free Medicare consultation. 

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