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Medicare

Understanding your Medicare options

Explore the four parts of Medicare: Parts A, B, C, and D. Learn what they cover, how they work together, and which coverage is right for you

The four parts

A, B, C and D

What each part actually covers.

Parts A and B make up Original Medicare and are provided by the federal government. Parts C and D are offered by private insurance companies.

Part AHospital insurance
Inpatient hospital stays, skilled nursing facility care after a qualifying stay, hospice, and some home health care. Most people don’t pay a monthly premium for Part A, because they or their spouse paid Medicare taxes while working. It has its own deductible when you’re admitted.
Part BMedical insurance
Doctor visits, outpatient care, lab work, medical equipment, and preventive services. Part B has a monthly premium, an annual deductible, and after that you generally pay a share of the cost of each service. There is no cap on that share under Original Medicare alone.
Part CMedicare Advantage (MAPD) Plan
An alternative way to get your Part A and Part B benefits, run by a private carrier instead of directly by Medicare. Plans must cover everything Original Medicare covers except hospice care, which Part A keeps paying for even while you’re in an Advantage plan. Most plans work through a network, though the rules vary by plan type. A PFFS plan may not have one. Many include prescription coverage and may add benefits Original Medicare doesn’t cover. Every plan has a yearly out-of-pocket maximum.
Part DPrescription Drug (PDP) Plan
Coverage for the medicines you pick up at a pharmacy. It comes either as a standalone plan alongside Original Medicare, or built into a Medicare Advantage plan. Going without it when you’re first eligible can cost you a permanent penalty later.

The decision

Once you have Medicare Parts A and B, you have two coverage paths to consider

Original Medicare leaves a share of every bill to you, with no yearly ceiling. Both roads exist to deal with that; they do it in opposite ways.

Your Original Medicare Coverage Options

You keep Original Medicare (Parts A and B) and explore additional coverage options, including a Medicare Supplement (Medigap) policy to help cover costs that Original Medicare does not, along with a separate Part D plan for prescription drug coverage. This option allows you to see any doctor nationwide who accepts Medicare while helping provide more complete coverage.

About Supplement plans

All Your Medicare Benefits in One Plan

You receive your Medicare Part A and Part B benefits through a Medicare Advantage plan offered by a private Medicare-approved insurance company. These plans often include prescription drug coverage and may offer additional benefits. Care is typically coordinated through the plan’s network of providers, with an annual limit on your out-of-pocket costs for covered services.

About Advantage plans

Choosing between Original Medicare with a Medicare Supplement plan and a Medicare Advantage plan is an important decision. The option that fits you best depends on your healthcare needs, preferred doctors, medications, travel habits, and coverage preferences

Talk it through · (972) 639-7639

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Ways to use your Medicare coverage

Your Medicare Plan Options

Medicare Advantage (MAPD) Plan

Learn how Medicare Advantage (Part C) plans work, the differences between HMO, PPO, and PFFS plans, and the three key things to consider before choosing a plan

Medicare Advantage

Medicare Supplement

Learn how Medicare Supplement (Medigap) plans help cover costs that Original Medicare doesn’t, and explore the many standardized plan options available, including Plans A through N

Medicare Supplement

Prescription Drug (PDP) Plan

Understand how Medicare Part D works, the importance of enrolling at the right time, and how to compare plans based on your prescription needs

Prescription Drugs

Questions

The questions that come first.

When am I first eligible?

Most people become eligible at 65. Your Initial Enrollment Period runs for seven months: the three months before the month you turn 65, that month itself, and the three months after. Some people qualify earlier through disability or specific conditions.

Do I have to sign up if I’m still working?

It depends on the coverage you have through that job and how large the employer is. Some people can delay Part B without any penalty; others can’t, and the penalty for getting it wrong is permanent. This is the single most worthwhile phone call to make before you turn 65.

What does Original Medicare not cover?

Routine dental, vision and hearing care are not covered, and neither is long-term custodial care. Prescriptions picked up at a pharmacy need Part D. There’s also no yearly limit on what you pay out of pocket under Original Medicare on its own, which is the gap that Supplement and Advantage plans each address in their own way.

Does it cost extra to use an agent?

No. Premiums are set by the carriers; you pay the same with or without me. Carriers pay me, so my help is free to you.

Get in touch

Start with a conversation, not a form.

Let’s talk about your doctors and the prescriptions you’re currently taking. That’s all we’ll need to begin exploring your options and identifying the coverage worth considering for you. We’ll walk through the details together, and the decision is yours.

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