Medicare Made Simple: Frequently Asked Questions
Medicare can feel overwhelming, but at Hall Insurance Agency, we’re here to make it simple. Whether you’re enrolling for the first time, considering a plan change, or just need clarity on your options, we’ve compiled the most common Medicare questions to help you feel confident in your decisions.
Your Questions, Answered
Understanding Your Medicare Options
Medicare isn’t one-size-fits-all, and choosing the right plan depends on your unique needs. You’ll need to decide between Original Medicare (Parts A & B), Medicare Advantage (Part C), Medicare Supplement (Medigap), and Part D (prescription drug coverage). Each option has different benefits, costs, and provider networks.
📞 Not sure which plan is right for you? We can help! Call 727-513-1000 to review your options.
Changing & Reviewing Your Medicare Plan
Your healthcare needs change over time, and so do Medicare plans. Medicare’s Annual Enrollment Period (AEP) from October 15 – December 7 allows you to review and update your coverage. Even if you're happy with your plan, it's important to check for updates in costs, networks, and benefits each year.
🔍 Want to review your current plan? Contact us for a free plan comparison.
When & How to Enroll in Medicare
Enrolling in Medicare is time-sensitive, and missing key deadlines could result in penalties. Your Initial Enrollment Period (IEP) begins three months before you turn 65 and lasts for seven months. There are also annual and special enrollment periods for making plan changes.
📅 Need enrollment assistance? Our team is here to guide you every step of the way.
Frequently Asked Questions
1. When can I enroll in Medicare?
You can enroll in Medicare during your Initial Enrollment Period (IEP), which lasts seven months—starting three months before your 65th birthday and ending three months after. If you miss this period, you may face penalties or need to wait for the General Enrollment Period (Jan 1 – Mar 31).
2. What’s the difference between Medicare Advantage and Medigap?
-
Medicare Advantage (Part C) combines hospital, medical, and often drug coverage into one plan, sometimes with extra benefits like dental and vision.
-
Medicare Supplement (Medigap) helps cover out-of-pocket costs like copays and deductibles but requires you to have Original Medicare.
3. Does Medicare cover prescriptions?
Original Medicare does not cover most prescriptions. To get coverage, you need a Medicare Part D plan or a Medicare Advantage plan that includes drug coverage.
4. Can I switch my Medicare plan?
Yes! You can change plans during Medicare’s Annual Enrollment Period (Oct 15 – Dec 7) or the Medicare Advantage Open Enrollment Period (Jan 1 – Mar 31). Special Enrollment Periods are available if you qualify due to life changes like moving or losing other coverage.
5. What happens if I don’t enroll in Medicare on time?
If you don’t enroll when first eligible and don’t have other qualifying coverage, you may face permanent late penalties for Medicare Part B and Part D. It’s important to enroll on time to avoid extra costs.
6. Can I keep my doctor with Medicare?
If you choose Original Medicare with a Medigap plan, you can see any doctor who accepts Medicare nationwide. Medicare Advantage plans have provider networks, so it’s important to check if your doctor is in-network before enrolling.
7. How do I know which Medicare plan is best for me?
The best plan depends on your health needs, budget, and doctor preferences. We can help you compare options and ensure you choose the right coverage for your lifestyle.
📞 Still have questions? Call 727-513-1000 for expert guidance today!