Medicare Made Simple
Navigating Medicare can feel complicated. Peak Insurance Services is here to help you understand your coverage options and find a plan that fits your needs.
Medicare basics
Understanding the Parts of Medicare
Part A: Hospital Insurance
Helps cover inpatient hospital care, skilled nursing facility care, hospice care, and certain home health services.
Part B: Medical Insurance
Helps cover doctor and provider services, outpatient care, durable medical equipment, home health care, and many preventive services.
Part C: Medicare Advantage
An alternative to Original Medicare offered through Medicare-approved private plans. It includes Part A and Part B, and most plans also include Part D drug coverage.
Part D: Prescription Drug Coverage
Helps pay for prescription medications. Coverage can be added to Original Medicare through a separate drug plan or included in many Medicare Advantage plans.
Medicare eligibility
Are You Eligible for Medicare?
Most people become eligible for Medicare at age 65 if they meet U.S. citizenship or residency requirements. Some people may qualify earlier due to a disability, End-Stage Renal Disease (ESRD), or ALS.
You may be eligible if:
- You are 65 or older and meet Medicare’s citizenship or residency requirements.
- You are under 65 and have received qualifying disability benefits.
- You have ALS, which can qualify you for Medicare when disability benefits begin.
- You have End-Stage Renal Disease (ESRD) and meet Medicare’s specific eligibility requirements.
Enrollment can vary based on your situation. Some people are enrolled automatically, while others need to sign up. Your current employment, Social Security benefits, and existing health coverage can all affect when you should enroll.
Explore Your Medicare Coverage Options
Medicare coverage isn’t one-size-fits-all. Depending on your healthcare needs, prescriptions, budget, and preferred providers, additional coverage options may help fill gaps or provide added benefits.
Medicare Advantage
Medicare Advantage (Part C) plans are offered by Medicare-approved private insurance companies as an alternative to Original Medicare. Plans include Part A and Part B, and many also include prescription drug coverage and additional benefits.
Medicare Supplement (Medigap)
Medicare Supplement insurance works alongside Original Medicare and can help pay certain out-of-pocket costs, such as copayments, coinsurance, and deductibles.
Prescription Drug Plans
Medicare Part D plans help cover prescription medications. Stand-alone Part D coverage is available to people with Original Medicare, while many Medicare Advantage plans include drug coverag
FAQs
Have questions about Medicare? Here are answers to a few of the most common questions we hear.
When can I enroll in Medicare?
ButtonYour Initial Enrollment Period generally lasts 7 months, beginning 3 months before the month you turn 65 and ending 3 months after your birthday month. Other enrollment periods may apply depending on your circumstances.
What is the difference between Original Medicare and Medicare Advantage?
ButtonOriginal Medicare includes Part A and Part B, and you can choose to add Part D and supplemental coverage such as Medigap. Medicare Advantage is an alternative offered by Medicare-approved private insurers and combines Part A and Part B, with most plans also including prescription drug coverage.
Can I have Medicare Advantage and Medigap at the same time?
ButtonNo. Medigap is designed to work with Original Medicare and cannot be used to cover Medicare Advantage costs. Generally, you choose either Medicare Advantage or Original Medicare with a Medigap policy.
PERSONAL GUIDANCE
Have Questions About Medicare?
Medicare coverage can be different for everyone. Peak Insurance Services is here to help you understand your options and find coverage that fits your healthcare needs and budget.
