Understanding Medicare

What you need to know... without the jargon.

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Whether you're turning 65, retiring, or helping a loved one through the process, understanding Medicare is the first step to getting the coverage you deserve. SCAN makes it easy to navigate your options. No confusing lingo. Just clear answers.

Medicare Basics

What is Medicare?

Medicare is a federal health insurance program primarily for people aged 65 and older, though it also covers certain younger individuals with disabilities or specific health conditions. It helps cover various healthcare services, including hospital stays, doctor visits, and prescription drugs.
Read now: Medicare Advantage vs. Medicare Supplement

Who qualifies for Medicare?

You’re eligible for Medicare if you’re 65 or older, or under 65 with certain disabilities or conditions like End-Stage Renal Disease (ESRD). Eligibility typically requires U.S. citizenship or legal residency for at least five continuous years.
Just turn 65? Turn here for answers.

What are the different parts of Medicare?

  • Part A (Hospital Insurance): Covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care.
  • Part B (Medical Insurance): Covers outpatient care, doctor services, preventive services, and medical supplies.
  • Part C (Medicare Advantage): Offered by private companies like SCAN, these plans include Parts A and B and often additional benefits.
  • Part D (Prescription Drug Coverage): Helps cover the cost of prescription medications
More about Medicare Part C Plans

How much does Medicare cost?

Costs vary:
  • Part A is usually premium-free if you or your spouse paid Medicare taxes for a certain period.
  • Part B has a monthly premium, which may vary based on income.
  • Medicare Advantage (Part C) and Part D plans have their own premiums, deductibles, and co-pays, depending on the specific plan.
Estimate your drug costs with a SCAN plan

When should I enroll in Medicare?

Your Initial Enrollment Period (IEP) starts three months before you turn 65, includes your birthday month, and ends three months after—a total of seven months. If you miss this window, you may face late enrollment penalties.

If you’re already enrolled and want to make changes, you can do so during the Annual Enrollment Period (AEP), which runs from October 15 to December 7 each year. During AEP, you can:

  • Switch from Original Medicare to a Medicare Advantage plan
  • Change from one Medicare Advantage plan to another
  • Add, drop, or change your prescription drug plan (Part D)
There are also Special Enrollment Periods (SEPs) for certain life events, like retiring or moving.

 

Five places to get enrollment help

What is the difference between Original Medicare and Medicare Advantage?

Original Medicare includes Parts A and B and allows you to visit any doctor or hospital that accepts Medicare. It doesn’t cover everything, so many add a Medigap policy and Part D for prescriptions.

Medicare Advantage plans (Part C), like those from SCAN, bundle Parts A and B and often include additional benefits like dental, vision, and prescription drug coverage.

Extra benefits and how to use them

Does Medicare cover everything?

Not entirely. Original Medicare doesn’t cover services like routine dental, vision, hearing aids, or long-term care. Medicare Advantage plans often offer these additional benefits.
View our supplemental benefits

How do I choose the right Medicare plan?

Consider your healthcare needs, preferred doctors, medications, and budget. Comparing plan options, benefits, and costs is essential. SCAN offers various Medicare Advantage plans tailored to different needs.
Explore plans for your lifestyle
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Ready to take the next step?

SCAN 65 is your go-to guide for choosing a Medicare Advantage plan. Get personalized support, see plan options in your area, and feel confident about your Medicare decision.

Speak With SCAN Today

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Need help selecting a plan?

(877) 452-5898(888) SCAN-TTY
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(800) 559-3500TTY: 711
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