What is Medicare?
Medicare is a federal health insurance program designed to help cover the cost of healthcare for:
- People aged 65 and older
- Individuals under 65 with certain disabilities
- People of any age with End-Stage Renal Disease (ESRD)
Whether you're preparing for retirement or managing a disability, Medicare helps make healthcare more affordable and accessible. But it can feel a little confusing — and that’s exactly why we’re here to guide you through it.
The Four Parts of Medicare
Medicare is divided into four main parts: A, B, C, and D. Each one covers a different part of your healthcare needs.
Part A – Hospital Insurance
Part A covers care when you’re admitted to a facility, including:
- Inpatient hospital stays
- Skilled nursing facility (SNF) care
- Hospice care
- Some home health care
Most people don’t pay a monthly premium for Part A if they (or their spouse) worked and paid Medicare taxes for at least 10 years (40 quarters). If you haven’t met that requirement, you can still get Part A by paying a premium.
In short: Part A helps with costs while you’re receiving inpatient care.
Part B – Medical Insurance
Part B covers the medical services and supplies you need to stay healthy, including:
- Doctor visits
- Outpatient care and therapy
- Lab work, X-rays, MRIs
- Preventive services like screenings and vaccines
- Some durable medical equipment and home health care
There is a monthly premium for Part B, and most people pay the standard amount.
Important: If you delay signing up for Part B when you're first eligible, you may have to pay a late enrollment penalty. It’s worth getting this part right — and we can help make sure you do.
Part C – Medicare Advantage
Medicare Advantage Plans (also called Part C) are private plans approved by Medicare. They combine your Part A and Part B coverage — and many also include Part D (prescription drugs), plus extras like:
- Vision and dental
- Hearing aids
- Fitness memberships
Medicare Advantage plans often come with different provider networks, out-of-pocket costs, and added benefits. They’re a popular choice if you prefer an all-in-one plan.
Part D – Prescription Drug Coverage
Part D helps cover the cost of your prescription medications. These plans are offered by private insurance companies that are approved by Medicare.
You can get Part D coverage in two ways:
- With Original Medicare, by enrolling in a stand-alone drug plan
- Through a Medicare Advantage Plan that includes drug coverage
Tip: Even if you don’t take medications now, it’s usually a good idea to enroll when you’re first eligible to avoid late enrollment penalties down the road.
Need Help Navigating Medicare?
We know Medicare can feel overwhelming. At Tailored Medicare, we’re here to make it simple. Whether you’re just getting started or reviewing your coverage options, we’ll walk with you every step of the way — with friendly, clear, no-pressure guidance.
to get personalized help or to schedule a free consultation.