Making Medicare Easy.
Frequently Asked Medicare Questions
If you’re confused about Medicare and not sure where to start, you aren’t alone. We understand how overwhelming Medicare can often feel, especially when you’re just beginning your journey. Whether you have a few questions or a long list of them, we’re here to help you every step of the way.
Medicare doesn’t need to be as complicated and confusing as it initially seems. To enhance your experience, we’ve organized this FAQ into easy-to-navigate sections. This structure allows you to quickly find the answers you need. For more detailed inquiries, we provide links to pages that offer in-depth information, ensuring you have all the facts at your fingertips.
Our mission is to simplify the Medicare process so you can approach it with confidence. No matter how complex Medicare may appear at first glance, we are confident that our expert guidance and resources will help you understand your options clearly and stress-free.
Get Clear Answers From Our Medicare Experts!
If you have more questions after exploring our FAQ, please reach out! We are always here to help. You can call/text us at 1-888-321-6361 or send us an email at help@medicarehero.com
Medicare FAQ's
What is Medicare?
Medicare is a federal health insurance program designed for only people who are 65 or older. People who are under 65 are not able to join Medicare, unless they have been on Social Security disability for more than 24 months, and have surpassed the waiting period for Medicare coverage. Additionally, people who can also benefit from this program are people with certain disabilities such as end-stage renal disease, and other permanent disabilities.
What is a Medicare Supplement Plan or Medigap?
Medigap is just another name for a Medicare Supplement Plan. They are the same exact thing and can be used interchangeably. Medigap policies are sold by private insurance companies and will pay some or all of the health care costs that Original Medicare (Medicare Part A & B) doesn’t cover. These costs can include copayments, coinsurance, deductibles and excess fees. These types of plans help make your annual health care budget very predictable and lower your out-of-pocket spending.
What is a Medicare Advantage Plan?
Medicare Advantage Plans, also known as Medicare Part C, are a type of health plan offered through private companies that contract with Medicare to provide you with your Part A (Hospital) and Part B (Medical) benefits. Medicare Advantage plans work much like insurance during our working years with networks for doctors and hospitals, deductibles, and co-pays. In addition to their full Medicare benefits, Medicare Advantage plans may also include vision, dental, drug coverage, and more.
What are the four parts of Medicare?
The Foundation of Medicare Coverage is Comprised of Four Parts. “Original Medicare” consists of Part A and Part B. Together, they provide the foundation for your health insurance coverage.
1) PART A • This is commonly known as hospitalization insurance. This mostly covers the cost of your time in the hospital (inpatient care), skilled nursing facility care, hospice care, home health care, and more.
2) PART B • This helps cover your doctors visits and other services including: outpatient procedures, x-rays, lab tests, and preventative services.
3) PART C • These plans are offered by private insurance carriers who have a contract with Medicare and are required to offer the same benefits as Original Medicare. You may enroll in this option to replace your “Original Medicare” (Part A and Part B). “Medicare Advantage Plans” are known as Part C. This combines Part A and Part B coverage.
4) PART D • This is your prescription drug coverage. This is offered to everyone with Medicare. Most Part C plans cover prescription drugs; however, you may be able to add drug coverage to some plans, if they are not already included.
What is Medicare Part A?
PART A • This is commonly known as hospitalization insurance. This mostly covers the cost of your time in the hospital (inpatient care), skilled nursing facility care, hospice care, home health care, and more.
What is Medicare Part B?
PART B • This is typically known as “medical insurance”. This helps cover your doctors visits and other services including: outpatient procedures, x-rays, lab tests, and preventative services.
What is Medicare Part C?
PART C • These plans are offered by private insurance carriers who have a contract with Medicare and are required to offer the same benefits as Original Medicare. You may enroll in this option to replace your “Original Medicare” (Part A and Part B). “Medicare Advantage Plans” are known as Part C. This combines Part A and Part B coverage.
What is Medicare Part D?
PART D • This is your prescription drug coverage. This is offered to everyone with Medicare. Most Part C plans cover prescription drugs; however, you may be able to add drug coverage to some plans, if they are not already included.
How can I compare Medicare plans?
One of our licensed, experienced, insurance agents would be happy to provide you with a side-by-side comparison from the leading top insurance companies, and help find the plan that is right for you. Simply follow this link HERE, fill out the quote form, and one of our friendly agents will be in contact with you shortly. It’s that simple!
How does Medicare work with my employer group coverage?
You have two options if you are still planning on working after you turn 65. You can either join Medicare, or keep your current coverage. We recommend weighing your options to see which coverage will provide you with the best benefits for the lowest premiums.
From our experience, approximately 50% of the time it is best to stay on group coverage, and the other 50% of the time, it is better to join Medicare. This decision should be based on comparing what you currently pay for your health insurance versus what you would pay for Medicare. Additionally, comparing a few of the major benefits such as the deductible and copays.
How much does Medicare cost?
Thinking about additional costs when you’re about to retire can be daunting and additional costs you might not anticipate or plan for. Questions like: How much is it? Can I afford it? What will my premiums be? These are all very common questions.
Big picture, Medicare coverage works a little differently then how we paid our health insurance premiums during our working years… During our working years, most people paid one large premium for all of our healthcare coverage including doctor visits, hospitalization, and drug coverage. However, Medicare coverage is paid in several smaller amounts for individual parts of coverage.
For more information on Medicare costs and specific premiums, Click Here
Does Medicare cover dental services?
Unfortunately, most dental services such as cleanings, fillings, and crowns are not covered by Original Medicare. However, there is a great “all-in-one” plan that covers dental, vision and hearing that you can add onto your Medicare plan for a monthly affordable rate.
When do I apply for Medicare?
Most people become eligible and apply for Medicare at age 65. When approaching turning 65, it’s important to know what your Initial Enrollment Period or (IEP) is. This is a seven-month period, which begins three months before the month of your 65th birthday, your birthday month, then extends for three months after your birthday month.
How and where do I apply for Medicare?
There are (4) ways you can apply for Medicare. The most popular way is online through the Social Security website. Other ways you can apply for Medicare is by phone, by mail, or in-person at the SS office. To learn more about when, where and how to apply for Medicare, Click Here.
Which is better: Plan G or Plan N?
After Plan F was phased out back in 2020, Plan G now offers the highest level of coverage in 2023. The only out-of-pocket expense you will have with Plan G is the Part B deductible of $226 in 2023. After this deductible is met, all your cost-sharing expenses will be covered for the rest of the year.
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Plan N is the second best option when it comes to the 10 Supplement Plan Options. Plan N covers mostly everything Plan G covers, except the most notable difference which is that Plan N doesn’t cover Part B excess charges (such as copays up to $20 for doctor visits and $50 for hospital visits), in addition to the Part B deductible.
How do I sign-up for the New to Medicare Webinar?
Our New to Medicare Webinar is a great way to learn about Medicare in simple and easy terms. We recommend it to everyone turning 65! You can sign up for this free Medicare 101 Webinar by clicking the link HERE.
Who is Medicare Hero?
Founded in 1985, Medicare Hero is a family-owned and operated insurance brokerage in Dallas, Texas. Over the past 30 years, our professional, friendly agents have helped thousands of Medicare beneficiaries nationwide with their Medicare coverage. We built our company from the ground up to ensure that our goals were the same as our client’s goals. Unlike other insurance agencies that offer several insurance products, we specialize in Medicare; and have made it our mission to know everything there is about Medicare, so you can make an informed decision when it comes to your healthcare coverage.
