Frequently Asked Questions
About Medicare

If you're new to Medicare, you probably have a lot of questions. The good news is, you're not alone. Take a look at some of our most frequently asked questions to start learning about Medicare, and understanding your options.

What is Medicare (Parts A and B)?

Medicare is a federal health insurance program for people age 65 and older, and those under 65 who are disabled. It helps pay for hospital (Part A) and physician and medical services (Part B) expenses. Parts A and B together are known as Original Medicare.

What is a Medicare Advantage plan (Part C)?

A Medicare Advantage plan replaces the benefits of Original Medicare, and lowers your out-of-pocket costs by providing more benefits than Original Medicare. Many of these plans also cover prescription drugs.

Medicare Advantage plans have provider networks. For HMOs, you must use a provider in the plan's network in order to receive benefits. For PPOs, you can use providers that are either in or out of network, but the benefits you receive will be higher if you use an in-network provider versus a provider not in the network.

Can I add a Medicare-approved Prescription Drug plan (Part D)?

Yes, if you have Medicare only, Medicare with a Medicare Supplement plan, or a Medicare Advantage plan that does not include Prescription Drug Coverage, you can also add a Medicare approved Prescription Drug plan to help cover your prescription costs.

How do I know if my medication is covered under the Prescription Drug plan I select?

The plan's formulary (list of covered drugs) will tell you which prescriptions the plan covers. To learn more go to Medicare.gov.

What is a Medicare Supplement plan?

A Medicare Supplement plan works with Original Medicare to help pay the deductibles, copayments and coinsurance that Medicare doesn't pay. It does not cover prescription drugs.

I have health coverage through my employer, and plan to retire when I turn 65. What happens to my health coverage once I retire?

Find out if you can keep any of your current coverage when you retire, or if it can be combined with Original Medicare Part A and Part B. Talk to your employer benefits administrator, insurer, or plan advisor before making any changes to your current coverage, since you may not be able to get your current coverage back if you drop it.

I want to help a friend or loved one make their Medicare plan decisions. What can I do?

In order for Medicare or a health plan to disclose personal health information to someone other than the actual Medicare beneficiary, the beneficiary must provide written notice to Medicare or the health plan saying that they may disclose his or her personal health information. The form for Medicare Authorization to Disclose Personal Health Information can be found here.

Need help in making a decision on what
Medicare Supplement plan is right for you?

Call 855-450-9932