How to Get the Most Out of
Your Medicare

Your time is finally here. Congratulations on being eligible for the health care coverage you deserve!

If you're anything like most people, understanding Medicare is like potty training your grandkids. Without help, it can take forever!

You may know the basic concepts of Medicare, but still might have questions like:

  • What's included with my plan?
  • Does my doctor accept it?
  • Are my prescriptions covered?
  • How do the different parts of Medicare work?

That's where we come in—we'll help keep things simple and identify the best options so you can get the most out of your coverage.

We're here to break down Medicare's parts, choices, costs, and deadlines so you'll feel confident in all your decisions. Whether it's understanding Original Medicare, discovering the benefits of Medicare Advantage and Medigap/Supplement plans, or checking to see if your prescriptions are covered—we want to provide you with the tools you need to feel safe and supported as you enter the next chapter of your life.

After you're done reading this guide, a 10-minute call with us will help you make the most informed decision to meet both your medical and financial needs. Getting to know how your Medicare works is an important step in planning for your future. Once you're ready to enroll (and since there isn't a one-size-fits-all policy), we'll make sure your options are customized through the nation's top insurance carriers.

Table of Contents
Tap to jump to section

  • Understanding Your Coverage Options and Costs
  • Eligibility and Enrollment Periods
  • Breaking Down Your Two Main Medicare Choices
  • Medicare Supplement (Medigap) Plans
  • Medicare Advantage Plans (Part C)
  • Medicare Prescription Drug (Part D) Plans
  • Paying for Your Medicare Coverage
  • Why Insurance Brokers are the Way To Go
Still Have Questions

If you're confused at any point when reading through our guide, give us a call and we will help walk you through all of your questions. (866) 399-4330

 Still Have Questions?

If you're confused at any point when reading through our guide, give us a call and we will help walk you through all of your questions. (866) 399-4330

Page One

Understanding Your Coverage Options and Costs

Since Medicare doesn't pay for all your health care costs, it's important that you consider what you're responsible for such as:

 Monthly Premium

 Out-of-Pocket Expenses

 Prescription Coverage

Medicare Coverage Options

We're here to help you find a plan that works for you and your budget. The coverage decisions you make are very important because they affect how you receive and pay for your health care. We'll help you compare the costs, benefits, and quality of the plans you're considering.

Get Started

Call Now (866) 399-4330

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Page One

Eligibility and Enrollment Periods

You're eligible for Medicare if you are a citizen of the United States or have been a lawful permanent resident for at least 5 years and meet one of these requirements:

 You or your spouse has worked for at least 10 years (or 40 quarters) while paying into Medicare

 Permanently disabled and received disability benefits for at least 2 years

 Have end-stage renal disease (ESRD) OR Lou Gehrig's disease (ALS)

 For Medicare Advantage, Medicare Supplement, and Part D plans, you must also enroll in Part A and Part B

Initial Enrollment Period

You have a 7-month window to join during this period — from three months before the month you turn 65, through your birthday month, and three months after the month you turn 65. During this time, you can enroll in:

 Original Medicare (Parts A and B)

 Medicare Prescription Drug plan (Part D)

 Medicare Advantage plan (Part C)

Medicare Enrollment Periods

Medicare Supplement Enrollment Period

Also known as Medigap, there are two initial times to enroll in a plan before and after you turn 65:

 6 months prior to turning 65 and 6 months after

 Once you turn 65, your 6 month period begins the month you enroll in Part B

 6 months before and after you first enroll in Part B

Prior to Turning 65
Medigap/Supplement After You Turn 65
Get Started

If you have any questions about your Medicare eligibility or if you're unsure about your enrollment period, contact us today at (866) 399-4330. We'll walk you through each stage while providing the personalized advice you deserve.

 Still Have Questions?

If you have any questions about your Medicare eligibility or if you're unsure about your enrollment period, contact us today at (866) 399-4330. We'll walk you through each stage while providing the personalized advice you deserve.

Page Three

Breaking Down Your Two Main Medicare Choices

You may find gaps in your Original Medicare coverage that you want to address. Next, we'll review what those gaps are, as well as your options to fill them with either a Medigap/Supplement or Medicare Advantage plan.

Medicare Pie Chart
In blue, the chart to the right shows Original Medicare (Part A and Part B), which covers inpatient hospital care, skilled nursing facility, hospice, lab tests, surgery, home health care, doctor and other health care providers' services, and outpatient care. Original Medicare is typically a low monthly premium, but offers less doctor flexibility and higher out-of-pocket expenses. In green, you'll see Medigap/Supplement and Medicare Advantage, which are both responsible for covering the 20% that isn't covered by Original Medicare. After you reach your Part B deductible, you must pay 20% of the cost of Medicare-approved Part B services. A Medigap/Supplement or Medicare Advantage plan will help pay the remaining 20%, including deductible and coinsurance amounts.

Now that you understand the basics of Original Medicare, below is a simple comparison guide for Medigap/Supplement and Medicare Advantage before we dive deeper into each.

Medicare/Medigap Benefits
Page Four

Medicare Supplement (Medigap) Plans

Medigap/Supplement plans help cover any additional expenses left behind by Original Medicare. For example, some plans will cover all Medicare costs except your Part B premium and deductible. This means no more out-of-pocket expenses, including copays, coinsurance, or your Part A deductible. If you prefer the peace of mind based on a fixed monthly premium without having to worry about surprise medical expenses, then Medigap/ Supplement plans are the best choice for you.

Medigap/Supplement Key Benefits:

Medigap Plan Coverage

Important Facts About Medigap/Supplement Plans:

 Provides private insurance coverage that helps fill the gaps in Parts A and B

 You will have to pay your monthly Part B premium and deductibles

 Helps pay for some of your remaining health care out-of-pocket costs, including copayments, coinsurance, and deductibles

 You can enroll in a Medigap/Supplement plan 6 months before and after the month you turn 65

Did You Know

Your Initial Enrollment Period is the ONLY time you're guaranteed to be accepted into a Medigap or Supplement plan without your rates increasing due to pre-existing conditions.

 Did You Know?

Your Initial Enrollment Period is the ONLY time you're guaranteed to be accepted into a Medigap or Supplement plan without your rates increasing due to pre-existing conditions.

Get Started

Call Now (866) 399-4330

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Call Now (866) 382-1192

Page Five

Medicare Advantage (Part C)

Medicare Advantage includes all the benefits of Original Medicare and provides a single plan that combines help with hospital costs, doctor's visits, and other medical services.

Important Facts About Medicare Advantage Plans:

  • You still have to pay your Part B premium
  • Some plans include prescription drug coverage, while others do not
  • Usually limited to doctors in your plan's provider network
  • Medigap/Supplement and Part C plans are different programs that can't be combined
  • Medicare doesn't automatically enroll you in a Part C plan
  • You may need referrals for specialists
Medicare Part C

Medicare Prescription Drug (Part D) Plans

For most, medication is an unfortunate part of life as we get older. That's where Part D comes in! Simply put, it is insurance for your medication needs.

There are two ways you can get a Part D plan:

  • Prescription drugs are not covered by Original Medicare, so you'll need to buy a separate “stand-alone” drug plan (which only covers drugs) if you want prescription drug coverage.
  • You also have the option to enroll in a Medicare Advantage plan that includes prescription drug coverage (MA-PD). These plans combine prescription drug coverage with other Medicare benefits (Parts A and B) into one plan with a single monthly premium.
Medicare Low Income Savings Program

For many individuals on Medicare, the most expensive part can be their prescriptions. The Extra Help Program/Low Income Subsidy can help reduce or, in some instances, even eliminate many of those costs. If you have fixed or limited income, these programs could save you thousands annually off of premiums, deductibles, and copayments associated with your Medicare prescription drug costs! Call (866) 399-4330 today to find out if you're eligible.

 Medicare Low Income Savings Program

For many individuals on Medicare, the most expensive part can be their prescriptions. The Extra Help Program/Low Income Subsidy can help reduce or, in some instances, even eliminate many of those costs. If you have fixed or limited income, these programs could save you thousands annually off of premiums, deductibles, and copayments associated with your Medicare prescription drug costs! Call today to find out if you're eligible.

Call Now (866) 382-1192

Page Six

Paying for Your Medicare Coverage

We want you to be able to plan a smooth, enjoyable retirement. One of the best ways to do so is to understand what you can expect to pay out-of-pocket for Medicare.

Generally, how much you pay for Medicare depends on:

  • Which Medicare plan you choose
  • How often you go to the doctor/hospital and your prescription needs
  • Whether you have employer-sponsored or association health insurance
  • Whether you qualify for help with Medicare costs
Medicare Costs Medicare Costs
Call Us Today

Searching for the right Medicare coverage based on your budget can end up being confusing and time-consuming. Although there's plenty of information in this guide, we strongly recommend contacting us at (866) 399-4330 so we can help you find the type of coverage you require and maximize your savings so you get the best value for your money.

 Call Us Today!

Searching for the right Medicare coverage based on your budget can end up being confusing and time-consuming. Although there's plenty of information in this guide, we strongly recommend contacting us at (866) 399-4330 so we can help you find the type of coverage you require and maximize your savings so you get the best value for your money. Call today to find out if you're eligible.

Call Now (866) 382-1192

Page Seven

Why Insurance Brokers are the Way to Go

When it comes to researching, comparing, and choosing your Medicare coverage, a licensed insurance broker can provide invaluable guidance. Ultimately, they serve as a knowledgeable resource that helps you and your loved ones find the quality Medicare coverage that's right for you and at a price you can afford.

Some of the advantages and benefits of working with a licensed insurance broker include:

 Medicare expertise

 Options from the nation's top insurance carriers

 Saves you time

 Finds a plan that works for you

 A broker doesn't cost you anything

 Tailored guidance

Still Have Questions

If you're confused at any point when reading through our guide, give us a call and we will help walk you through all of your questions. (866) 399-4330

 Still Have Questions?

If you're confused at any point when reading through our guide, give us a call and we will help walk you through all of your questions.

Call Now (866) 382-1192

Now is Your Time to Save on Health Insurance

Now that you've finished the 2022 Guide to Medicare, it's time to answer any lingering questions and get you enrolled. You've learned a lot of important information about Medicare and your options. We want to help you make informed, educated decisions throughout your Medicare journey—all with zero pressure to enroll in a plan.

Contact us today so we can help you find affordable coverage that best suits your needs, budget, and lifestyle. Keep in mind, there is a limited window to enroll in Medicare, and the additional coverage rules vary. Don't wait to enroll and end up with limited or no Medicare coverage. Call today for answers to any lingering questions and to get the quality, affordable Medicare plan that fits your unique coverage needs.

Get Started

Call Now (866) 399-4330

Licensed • Trusted • Affordable

Call Now (866) 382-1192

Disclosure: Neither Time for 65 nor its agents are connected with or endorsed by the United States government or the federal Medicare program. Time for 65's 2022 Guide to Medicare is thorough, but does not cover every detail. This guide is designed to give you a high-level understanding of Medicare. More detailed information can be found on Medicare.gov.