Choosing a Plan:

Switching Plans: You're not locked into your Medicare choices, but there are some limitations.

Enrollment Windows: Remember, to avoid higher premiums, enroll in Medicare as soon as you become eligible.

Decision Road Map : Your plans for the future, lifestyle, medical history—even the doctors you see—are all things to think about before making a decision about your health care.

  • Look here for a handy list of important things to consider before choosing a plan.

Financial Assistance: There are programs to help those with limited incomes and resources.

Checklist: Gather this information first, before you enroll.

Caregivers: Helping a loved one make Medicare choices? Find out what you need to know about:

choosing a plan

Watch our Choosing a Medicare Plan video, then see how much you learned.


Choosing a Medicare plan

There's a lot to consider when choosing a Medicare plan. Watch the video then see how well you understand what you need to know by answering the following questions.

Choosing a Medicare Plan

There's a lot to consider when choosing a Medicare plan. Watch the video then see how well you understand what you need to know by answering the following questions.

Are You Ready to Choose a Plan?

Your Score: x out of x

Question 1

When you enroll in Medicare, it's a good idea to review your current coverage. Your current plan may help pay for some of the things Medicare doesn't cover.

You chose true. Correct, it's true.

If you have an employee, retiree or union health insurance plan, it may provide everything you'll need for the long term, or it may help to pay for some of the things Medicare doesn't cover. Talk to your plan administrator about your choices. You may still want to enroll in Original Medicare (Parts A and B) because you'll need it if you want a Medicare Part D prescription drug plan or a Medicare Advantage (Part C) plan, and you may pay a penalty if you delay signing up.

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Question 2

Where you live doesn't matter. All Medicare plans are offered by the federal government, so coverage is the same nationwide.

Sorry, it's false.

Original Medicare (Parts A and B) is a federal health care program and offers the same coverage nationwide. Medicare Advantage (Part C) plans, Medicare Part D prescription drug plans and Medicare supplement insurance (Medigap) plans, however, are offered through private insurance companies, so different plans will be available in different areas. Medicare supplement insurance benefits are standardized by the federal government, so, for example, a Medicare supplement insurance Plan A from one insurer has identical benefits to a Medicare supplement insurance Plan A offered by another insurer, but there are exceptions. Minnesota, Massachusetts and Wisconsin (“waiver” states) have their own standardized plan. When considering your choices, be sure to find out what's available where you live and compare plans carefully, since costs and coverage will vary by plan. The Plan Finder Tool at Medicare.gov can help you find plans in your ZIP code.

Next Question

Question 3

You can switch your Medicare plan choices once a year.

Sorry, it's false.

You can change your plan choices without penalty during the Annual Enrollment Period (AEP)—October 15 through December 7 each year—so it's a good idea to review your coverage, needs and any changes to Medicare plans once a year. You may also drop a Medicare Advantage plan and return to Original Medicare between January 1 and February 14.

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Plan Comparison Table

Original
Medicare
Parts A & B
Medicare
Advantage Plan
Part C
(May include Part D)
Medicare Part D
Prescription
Drug Plan
Medicare
Supplement
Insurance Plan
Primary reasons
to enroll:
You want basic Medicare coverage from the
government
You want one plan
with Medicare
Parts A & B, which may include Part D
coverage plus
extra benefits
You want a
stand-alone drug
plan to add to
your Medicare
coverage
You want help with expenses not covered by Medicare Parts A & B
Offered through a
private insurance
company
X X X
Overnight hospital stay coverage
X X
Coverage for medical
care like doctor visits
X X
Prescription drug
coverage
X X
Low or $0 co-pays
X
Low or $0 deductibles
X
Limits your
out-of-pocket costs
X X
More coverage for preventive services
and other benefits
X
Low or $0 additional monthly premium for prescription drug
X X
May have limits on
doctors and service
area
X