New to Medicare

New to Medicare but unsure where to start? Texas Medicare Advisors has the info you need, with everything from the basics to enrollment periods and your plan options. We will make sure you get started on the right foot.

Back to Basics: What is Medicare?

Medicare is a federal insurance plan that provides a variety of health benefits. It is generally geared towards those 65 or older or with serious health issues or disabilities.

Original Medicare includes basic hospital and medical benefits. Within this group, there are two different plans—Plan A and Plan B. You must be enrolled in both of these plans before considering any additional options.

For additional coverage, you can choose to enroll in a Medicare Advantage, or Part C plan. These plans are privately offered, and help coordinate your Original Medicare benefits to lower your out-of-pocket costs. They may also provide some additional benefits.

Medicare Part D is another additional option that can be combined with either Original Medicare or Part C. It provides prescription drug coverage on virtually any drug you would need.

Medicare supplements, or Medigap, can be added to your Original Medicare plan. There are 10 distinct plans within this category, each with its own specialized benefits at different prices. They will cover costs such as your Original Medicare premiums, copayments, and more.

When You’re Eligible For Medicare

Medicare eligibility is generally based on age or health. You’re eligible if you are 65 or older, have End-Stage Renal Disease (ESRD) or other conditions, or have a disability.

You can enroll in Medicare during a specific time known as an enrollment period. If you want to learn more, check out our article on Medicare eligibility.

Medicare Simplified: What You Need to Know

If you’re new to Medicare, there are a few very simple things you need to know:

  • You get to choose your Advantage, Part D, and/or Supplement provider(s) and “shop around” for the best prices.
  • You can have both employer insurance (group health) and Medicare.
  • You may face late penalties if you do not sign up when first eligible (with some exceptions).
  • You will pay for all of your Medicare coverage 3 different ways: premiums, deductibles, and copayment/coinsurance fees.
  • Medicare and Medicaid are different. If you have financial needs and cannot pay for Medicare on your own, you may qualify for Medicaid, which will help cover those costs.
  • You may be automatically enrolled in Original Medicare. Whether or not you are, you will receive a packet in the mail around the time you become eligible. It will explain your Part A and B coverage.

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Need Help Getting Started with Medicare?

Medicare is complicated. But, there are plenty of opportunities for great coverage at a great price in your area, if you know what to look for.

Thankfully, we do. With Texas Medicare Advisors, you will learn more about Medicare than ever before. Give us a call at 512-900-3008.