Published on September 1, 2025
4 min read
Understanding Medicare: What You Need to Know Before You Enroll
Turning 65 or helping someone navigate healthcare options? Medicare can feel overwhelming at first—but it doesn’t have to be.This guide breaks down the basics, plan options, and how to make smart decisions about your healthcare coverage.
Explore Your Medicare Options and Get the Coverage You Deserve

It helps cover hospital stays, doctor visits, prescription drugs, and more.
The 4 Parts of Medicare: ✅ Part A – Hospital Insurance Covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health services.
✅ Part B – Medical Insurance Covers outpatient care, doctor visits, preventive services, and durable medical equipment.
✅ Part C – Medicare Advantage Offered by private insurers, these plans include Parts A and B and often Part D.
May offer extras like dental and vision.
✅ Part D – Prescription Drug Coverage Helps cover the cost of prescription medications.
Plans are offered by private insurers.
Who Is Eligible for Medicare? You’re eligible if: You’re 65 or older You’re under 65 and have a qualifying disability You have end-stage renal disease (ESRD) or ALS When Can You Enroll? 📅 Initial Enrollment Period – 3 months before, the month of, and 3 months after your 65th birthday.
📅 Annual Open Enrollment – October 15 to December 7 each year.
📅 Special Enrollment Periods – For life changes like moving or losing other coverage.
What Does Medicare Cost? Part A is usually free if you’ve paid Medicare taxes Part B has a standard monthly premium Advantage and Part D plans have varying premiums and co-pays Medigap (Supplemental Insurance) can help with out-of-pocket costs What About Medicare Supplement (Medigap)? Medigap policies help pay costs like deductibles, co-payments, and coinsurance not covered by Original Medicare.
You must have Part A and Part B to enroll.
How to Choose the Right Plan Compare your current health needs Look at your prescriptions Check if your doctors are in-network Review plan costs and coverage extras Consider if dental, vision, or hearing are important to you Final Thoughts: Medicare is a vital part of your retirement plan.
With the right guidance and understanding, you can make informed choices that protect your health and your wallet.