Medicare Resource Center

Medicare Basics - Medicare Resource Center

Medicare is a healthcare program that provides coverage for individuals who are eligible for it and those who are currently receiving treatment at a medical facility. It is a fee-for service plan that the federal government is managing.

Since 1965, Medicare has been composed of two parts: the Medicare Part A and the Medicare Part B. For over 50 years, the program has been able to provide coverage for individuals with disabilities and seniors.

With the help of Medicare, people can bypass the need for a referral or authorization when they go to the doctor or hospital of their choice. The government will then pay the cost of the service, and the individual will only be responsible for the remaining left-over funds.

Does Medicare Cover Home Health Care? What’s Included and Who Qualifies

Does Medicare Cover Home Health Care? What’s Included and Who Qualifies

Medicare covers home health care, but only under specific conditions. Here’s what’s actually included, who qualifies, what isn’t covered, and how to avoid surprise bills.

Can You Get Medicare Without Enough Social Security Work Credits?

Can You Get Medicare Without Enough Social Security Work Credits?

Most people earn premium-free Part A through 40 quarters of work, but you can still get Medicare if you fall short. Here is how the buy-in works and what it costs.

Hospital Observation Status vs. Inpatient Admission: Why It Matters for Medicare

Hospital Observation Status vs. Inpatient Admission: Why It Matters for Medicare

Two nights in the hospital can be billed two completely different ways under Medicare. Here is how observation status differs from inpatient admission, and why the distinction can cost you thousands.

Medicare and Moving: How to Change Your Plan When You Relocate

Medicare and Moving: How to Change Your Plan When You Relocate

Moving to a new state or county can change your Medicare coverage overnight. Here's what triggers a Special Enrollment Period, what to do with Advantage and Part D plans, and how Original Medicare and Medigap travel with you.

Medicare's 100-Day Rule for Skilled Nursing Facility Coverage Explained

Medicare's 100-Day Rule for Skilled Nursing Facility Coverage Explained

Medicare covers up to 100 days in a skilled nursing facility per benefit period, but the coverage rules trip up almost everyone. Here's how the 100-day rule actually works.

Medicare Annual Wellness Visit vs. Physical Exam: What's Free and What Isn't

Medicare Annual Wellness Visit vs. Physical Exam: What's Free and What Isn't

The Medicare Annual Wellness Visit is free, but it isn't a physical exam. Here's exactly what's covered, what triggers charges, and how to avoid surprise bills.

Turning 65 on Medicare Disability: What Changes and What to Do Next

Turning 65 on Medicare Disability: What Changes and What to Do Next

If you got Medicare through disability before age 65, turning 65 resets your options. Here's what changes, why it matters for Medigap, and what to do during your second Initial Enrollment Period.

Medicare Extra Help: Who Qualifies for the Low Income Subsidy and How to Apply

Medicare Extra Help: Who Qualifies for the Low Income Subsidy and How to Apply

Extra Help is a federal program that pays most of your Medicare Part D costs if you qualify. Here is who is eligible, what it covers, and how to apply.

The Medicare Part B Late Enrollment Penalty: What It Costs and How to Avoid It

The Medicare Part B Late Enrollment Penalty: What It Costs and How to Avoid It

Miss your Part B enrollment window and you'll pay a penalty for life for every 12 months you delayed. Here's how the math works and the rules that let you skip the penalty entirely.

Medicare and HSAs: How Enrollment Affects Your Health Savings Account Contributions

Medicare and HSAs: How Enrollment Affects Your Health Savings Account Contributions

Once you enroll in any part of Medicare, you can no longer contribute to an HSA. Here is how the 6-month lookback rule, prorated limits, and Part A timing actually work.

Medicare and Employer Coverage: What to Know If You're Still Working at 65

Medicare and Employer Coverage: What to Know If You're Still Working at 65

If you're turning 65 but still have health insurance through your job, you have some important decisions to make. Learn how Medicare coordinates with employer coverage, when to enroll, and how your employer's size affects your options.

Medicare Savings Programs: How to Get Help Paying for Medicare Costs

Medicare Savings Programs: How to Get Help Paying for Medicare Costs

Learn how Medicare Savings Programs (QMB, SLMB, QI, QDWI) can pay your Medicare premiums and costs. See income limits, how to apply, and what's covered.

Common Medicare Myths and Misconceptions That Could Cost You

Common Medicare Myths and Misconceptions That Could Cost You

Many Medicare beneficiaries make decisions based on outdated assumptions or common myths. Learn the truth behind the most widespread Medicare misconceptions so you can make informed choices about your coverage, avoid penalties, and potentially save hundreds of dollars a year.

Which Medicare Plans Have the Best Overall Value for Beneficiaries?

Which Medicare Plans Have the Best Overall Value for Beneficiaries?

Compare Original Medicare, Medicare Advantage, and Medigap plans side by side to find which option delivers the best overall value based on your health needs, budget, and lifestyle.

Medicare Choices That Can Accidentally Raise Your Tax Bill

Medicare Choices That Can Accidentally Raise Your Tax Bill

How certain Medicare decisions can raise your tax bill. Discover common mistakes involving income, HSAs, and premiums and how to avoid them.

Common Medicare Mistakes First-Time Enrollees Make

Common Medicare Mistakes First-Time Enrollees Make

Many new Medicare enrollees make costly mistakes. Learn what to avoid when choosing coverage, drug plans, and enrollment timing.

Medicare and Medicaid: How Dual Eligibility Works

Medicare and Medicaid: How Dual Eligibility Works

Millions of Americans qualify for both Medicare and Medicaid at the same time. Learn what dual eligibility means, the difference between full and partial benefits, how D-SNP plans work, and how Medicaid covers what Medicare does not.

How to Appeal Medicare Coverage Decisions

How to Appeal Medicare Coverage Decisions

How to appeal Medicare coverage denials, understand your rights, and get the care or payment you need with clear steps and tips.

Preventive Services Covered by Medicare: Stay Healthy Without Extra Costs

Preventive Services Covered by Medicare: Stay Healthy Without Extra Costs

Which preventive services Medicare covers at no extra cost, including wellness visits, screenings, and vaccines, and discover how to use these benefits to stay healthy and informed.

Best Medicare Options for Frequent Travelers: Original Medicare vs. Medicare Advantage

Best Medicare Options for Frequent Travelers: Original Medicare vs. Medicare Advantage

The best Medicare options for frequent travelers, found by comparing Original Medicare and Medicare Advantage for coverage across states and abroad.

Who Is Eligible for a Medicare Special Enrollment Period?

Who Is Eligible for a Medicare Special Enrollment Period?

Learn who qualifies for a Medicare Special Enrollment Period (SEP), what events make you eligible, and how to apply without facing penalties or coverage gaps.

Comparing Medicare Plans: A Family Guide to Making the Right Choice

Comparing Medicare Plans: A Family Guide to Making the Right Choice

This family guide explains what to look for in coverage, costs, prescriptions, and provider networks to help seniors choose the right plan. Compare Medicare plans with confidence.

The Different Types of Medicare Penalties and How to Avoid Them

The Different Types of Medicare Penalties and How to Avoid Them

Learn how the Medicare Part A, Part B, and Part D late enrollment penalties work, how much they cost, how long they last, and how to avoid them.

ANOC Guide: What to Expect from Your Annual Notice of Change

ANOC Guide: What to Expect from Your Annual Notice of Change

What your Medicare Annual Notice of Change (ANOC) means for your coverage, costs, and prescriptions. Understand key dates, how to review changes, and when to switch plans during Medicare Open Enrollment.

Comparing Medicare Plans: A Step-By-Step Financial Checklist

Comparing Medicare Plans: A Step-By-Step Financial Checklist

Compare Medicare plans with confidence using this step-by-step financial checklist. Learn how to evaluate costs, premiums, and income-based options to choose the right coverage for your needs.

Medicare Under 65: How to Qualify Before You Turn 65

Medicare Under 65: How to Qualify Before You Turn 65

Around 9 million Americans receive Medicare before turning 65. Learn who qualifies through disability, ESRD, or ALS, how enrollment works, and what Medigap options look like for younger beneficiaries.

Understanding Medicare Special Enrollment Periods (SEPs)

Understanding Medicare Special Enrollment Periods (SEPs)

Learn how Special Enrollment Periods (SEPs) let you enroll in or change your Medicare coverage outside of standard enrollment windows. Find out which qualifying events trigger a SEP and how to take advantage of one.

Medicare Part A Costs, Premiums, and Deductibles in 2026

Medicare Part A Costs, Premiums, and Deductibles in 2026

A full breakdown of Medicare Part A costs for 2026, including the $1,676 deductible, monthly premiums, hospital coinsurance rates, skilled nursing facility costs, and how to qualify for premium-free Part A.

Upcoming Changes to Medicare in 2025: What to Expect

Upcoming Changes to Medicare in 2025: What to Expect

Discover the major updates to Medicare in 2025, including expanded coverage, enhanced telehealth services, and drug price negotiations. Learn how these changes will impact your healthcare.

How Much Does Medicare Cost in 2026? Premiums, Deductibles, and Out-of-Pocket Costs

How Much Does Medicare Cost in 2026? Premiums, Deductibles, and Out-of-Pocket Costs

A complete guide to every Medicare cost in 2026, from Part A and Part B premiums to Part D drug costs, Medicare Advantage copays, and Medigap plan pricing. See the exact numbers and learn what you'll actually pay.

Medicare Open Enrollment 2026: When You Can Change Your Medicare Plan

Medicare Open Enrollment 2026: When You Can Change Your Medicare Plan

The Medicare Annual Enrollment Period runs October 15 through December 7 every year. Learn what changes you can make during open enrollment, how it differs from other Medicare enrollment windows, and what to do before the deadline.

The Value of Local Insurance Agents in Navigating Medicare Coverage

The Value of Local Insurance Agents in Navigating Medicare Coverage

Discover how local insurance agents and brokers play a crucial role in helping individuals make informed decisions about Medicare and health care coverage, ensuring personalized support and advocacy at no additional cost.

Does Medicare Cover Dental?

Does Medicare Cover Dental?

Original Medicare does not cover most dental care, but Medicare Advantage plans often include dental benefits like cleanings, X-rays, and even major work. Here's what's covered, what's not, and your options for getting dental coverage on Medicare.

Understanding Medicare Part B: What It Covers, What It Costs, and How to Enroll

Understanding Medicare Part B: What It Covers, What It Costs, and How to Enroll

Medicare Part B covers doctor visits, outpatient care, preventive services, and medical equipment. Learn what Part B costs in 2026, when to enroll, and how to avoid late penalties.

What is Medicare?

What is Medicare?

Medicare is the federal health insurance program for Americans 65 and older, as well as some younger people with disabilities. Learn about the four parts of Medicare, eligibility requirements, enrollment periods, costs, and how to choose the right plan.

What to Know About Original Medicare

What to Know About Original Medicare

Original Medicare — Part A and Part B — is the foundation of Medicare coverage. Learn what's covered, what's not, your out-of-pocket costs, and how supplemental plans can fill the gaps.

Understanding Medicare Part A: Insurance Coverage for Hospital Related Services

Understanding Medicare Part A: Insurance Coverage for Hospital Related Services

Learn what Medicare Part A covers, including hospital stays, skilled nursing, hospice, and home health services. Understand 2026 costs, eligibility, and how to enroll.

Turning 65: A Complete Guide to Medicare Enrollment

Turning 65: A Complete Guide to Medicare Enrollment

Everything you need to know about Medicare when you turn 65 — from your Initial Enrollment Period and plan options to costs, common mistakes, and how to enroll.

Understanding What's Covered by Medicare

Understanding What's Covered by Medicare

Learn what Medicare covers across its four parts — hospital care, doctor visits, prescription drugs, and Medicare Advantage — so you can make informed decisions about your healthcare coverage.

How to Apply for Medicare

How to Apply for Medicare

Learn how to apply for Medicare with our step-by-step guide covering eligibility requirements, enrollment periods, and application methods to ensure seamless access to your healthcare benefits.

How To Enroll in Medicare

How To Enroll in Medicare

Understand Medicare enrollment essentials, including eligibility criteria, required information, and enrollment methods, to ensure timely access to healthcare benefits.

Choosing Dental Coverage on Medicare

Choosing Dental Coverage on Medicare

Getting the proper dental care is very important for our well-being. It's a decision that should be made with multiple factors in mind, such as the type of coverage that will best suit your needs and budget.

Medicare Coverage

Medicare Coverage

Understand how the different parts of Medicare coverage fit together. Compare Original Medicare, Medicare Advantage, and Medigap to find the right combination for your healthcare needs and budget.

New to Medicare: A Beginner's Guide to Understanding Your Coverage Options

New to Medicare: A Beginner's Guide to Understanding Your Coverage Options

Everything you need to know when you're new to Medicare. Learn about the four parts of Medicare, when and how to enroll, the costs involved, and how to choose between Original Medicare and Medicare Advantage.