Medicare Coverage Guide

Compare Medicare Parts A, B, C, and D side by side. Understand what each part covers, costs, and how to choose the right Medicare coverage for your needs.

Medicare Coverage Guide

Feature Part APart BPart CPart D
Also Known As Hospital Insurance Medical Insurance Medicare Advantage Prescription Drug Coverage
What It Covers Hospital stays, skilled nursing, hospice, home health Doctor visits, outpatient care, preventive services, durable medical equipment All of Parts A & B, often includes drugs, vision, dental, hearing Prescription medications
Monthly Premium Usually $0 (if 40+ work quarters) $174.70/month (standard 2026) Varies ($0-$200+/month) Varies ($7-$100+/month)
Deductible $1,632 per benefit period $240/year Varies by plan Up to $545/year
Enrollment Automatic at 65 (if receiving SS) Initial Enrollment Period around 65th birthday Annual Election Period (Oct-Dec) Annual Election Period (Oct-Dec)
Provider Network Any Medicare-accepting provider Any Medicare-accepting provider Plan-specific network (HMO/PPO) Plan-specific pharmacy network

Original Medicare vs. Medicare Advantage

Original Medicare (Parts A + B) gives you the freedom to see any doctor or hospital that accepts Medicare, anywhere in the country. Medicare Advantage (Part C) bundles all benefits into one plan, often with additional coverage like dental and vision, but requires using in-network providers. About 50% of Medicare beneficiaries now choose Advantage plans. The right choice depends on your healthcare needs, preferred providers, and how much you travel.

When to Enroll in Medicare

Your Initial Enrollment Period (IEP) is the 7-month window around your 65th birthday (3 months before, your birthday month, and 3 months after). If you miss this window, you may face late enrollment penalties -- a 10% premium increase for Part B for each full 12-month period you could have enrolled but did not. If you have employer coverage, you may qualify for a Special Enrollment Period when that coverage ends.

Disclaimer: This calculator provides estimates only. Actual insurance rates depend on many factors including your specific situation, location, and insurance provider. Contact a licensed insurance agent for accurate quotes. This is not financial or insurance advice.

Frequently Asked Questions

What is the difference between Medicare and Medicaid?

Medicare is a federal health insurance program primarily for people 65 and older, regardless of income. Medicaid is a joint federal-state program for people with limited income and resources. Some people qualify for both (dual eligible) and can receive benefits from both programs.

Do I need Medicare Part D if I have Part C?

Most Medicare Advantage (Part C) plans include prescription drug coverage, so a separate Part D plan is usually not needed. However, check your Part C plan's drug formulary to ensure your medications are covered. You cannot have both Part C drug coverage and a standalone Part D plan.

How much does Medicare cost per month in 2026?

Part A is usually free. Part B costs $174.70/month for most people (higher income individuals pay more). Part D premiums average $33/month. Medicare Advantage premiums range from $0 to $200+/month depending on the plan. Medigap (supplemental) policies add $100-$300/month.

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