Medicare FAQs

Many people first become eligible at age 65, although eligibility rules can vary. Enrollment timing matters because delayed enrollment may result in penalties depending on circumstances and coverage status. Most people should enroll in the three month period before turning 65. People who work past age 65 can enroll in Medicare Part B later when they eventually retire without a late enrollment period, so long as they have maintained continual coverage under a qualified employer health plan.

Medicare Advantage plans generally combine healthcare benefits into one managed plan and may include additional services. Medicare Supplement plans work alongside Original Medicare and help reduce certain out-of-pocket expenses. The right option depends on provider preferences, budget, and coverage goals.

Medicare Part D helps cover prescription medications. Covered drugs, formularies, pharmacy networks, and cost-sharing vary by plan. All part D plans have a $2,000 maximum out-of-pocket limit.

Yes. Medicare Advantage plan members can change plans during specific open enrollment periods. People with a Medicare supplement can change to a different Medicare supplement at any time of year, but in most cases will be subject to medical underwriting.

Outpatient prescription medications are not covered by original government Medicare.  Coverage is available through Medicare Part D or through certain Medicare Advantage plans that include drug coverage.

Original government Medicare works at all doctors and facilities that accept Medicare. Medicare supplements also work anywhere that government Medicare is accepted. Medicare Advantage plans all have specific networks of providers, so it is best to check with your healthcare providers to make sure they accept your specific Medicare Advantage plan.