Turning 65? Here’s Your Medicare Guide
Approaching your 65th birthday means it’s time to understand Medicare. This guide walks you through everything you need to know.
When to Enroll
Your Initial Enrollment Period (IEP) is a 7-month window:
- Starts 3 months before your 65th birthday month
- Includes your birthday month
- Ends 3 months after your birthday month
Don’t miss this window! Late enrollment can mean penalties and coverage gaps.
The Parts of Medicare
Part A (Hospital Insurance)
Covers inpatient hospital stays, skilled nursing, hospice, and some home health care. Most people get Part A premium-free.
Part B (Medical Insurance)
Covers doctor visits, outpatient care, preventive services, and medical equipment. Standard premium in 2025 is $185/month.
Part C (Medicare Advantage)
Private plans that combine Part A and B, often including drug coverage and extra benefits. May have different costs and rules.
Part D (Prescription Drugs)
Covers prescription medications. Available as standalone plans or included in Medicare Advantage.
Key Decisions
Original Medicare vs. Medicare Advantage
Original Medicare (Parts A & B)
- See any Medicare provider
- Need separate Part D and possibly Medigap
- Predictable coverage nationwide
Medicare Advantage (Part C)
- Often lower premiums
- May include extras (dental, vision, fitness)
- Usually requires using network providers
- Coverage varies by plan
Do You Need Medigap?
Medicare Supplement (Medigap) policies help pay costs Original Medicare doesn’t cover—deductibles, copays, and coinsurance. Consider one if you want predictable out-of-pocket costs.
If You’re Still Working
If you have employer coverage when you turn 65, you may be able to delay Medicare enrollment without penalty. Understand the rules for your situation.
Get Help
This is a big decision. Consider talking to:
- Your State Health Insurance Assistance Program (SHIP)
- A licensed Medicare insurance agent
- Medicare.gov or 1-800-MEDICARE
Make informed choices about your Medicare coverage.
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