Review Medicare Advantage Plans

New to Medicare, Aging into Medicare, or looking for general timeline information? Check your eligibility to enroll and review basic program parameters, enrollment milestones, and official government resources below. Check Your Eligibility To Enroll.

Learn More TTY:711

Review General Program Guidelines

Stay informed on standard terminology, foundational structures, and timelines associated with your insurance choices.

Informational Overview

Understanding basic program guidelines helps you track official timelines and definitions safely.

Basic Terms to Know

Coverages

Factors that Affect Rates

Original Medicare Part A & B: Basic Terms to Know

Claim
A payment request submitted to the Medicare program or insurance providers for services received from an accepted healthcare provider.

Deductible
The amount you must pay out-of-pocket for health care services or prescriptions before insurance plans begin cost-sharing.

Premium
The monthly amount paid by an individual to maintain health insurance or program coverage.

Coverage: Simplified

Medicare Part A
Inpatient care in a hospital, Skilled nursing facility care, Nursing home care, Hospice care, and Home health care.

Medicare Part B
Helps covers physician services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.

Medicare Part C
A Medicare Advantage Plan (like an HMO or PPO) is a health plan choice option available to individuals enrolled in Original Medicare Part A & B, offered by private insurance companies.

Medicare Part D
Helps cover prescription drug benefits.

Factors that Affect: Rates

Certain profile variables affect insurance rates, and individual companies utilize their own formulas to calculate plan premiums.

Part A Premiums (According to Medicare.gov)
Medicare Part A recipients do not pay any premiums if they are over 65 and meet standard Social Security tax history quarters.

Part B Premiums
Medicare Part B premiums change annually, determined by modified adjusted gross income and federal tax filing status from two years prior.

Part C Premiums
Plan premiums vary depending on the private insurance carrier selected

Part D Premiums
Plan premiums vary depending on the private insurance carrier selected

Additional Information

Initial Enrollment Period

Upon turning 65, individuals may become eligible to enroll in Original Medicare, a Medicare Advantage Plan, or review plan options. The Initial Enrollment Period includes the 3 months before your 65th birthday, your birthday month, and 3 months after your 65th birthday month.

Special Enrollment Period

Special Enrollment Period eligibility varies. When you are aging-in, if you recently moved, you lost your health insurance coverage, or have other Special Enrollment Period qualifying conditions, the Special Enrollment Period eligibility varies by qualifying conditions.

Monday to Friday: 5:00 AM to 6:00 PM CST - Saturday: 5:00 AM to 5:00 PM CST - Sunday: Closed

Review Medicare Advantage Plans

New to Medicare, Aging into Medicare, or looking for general timeline information? Check your eligibility to enroll and review basic program parameters, enrollment milestones, and official government resources below. Check Your Eligibility To Enroll.

Review General Program Guidelines

Review General Program Guidelines

Informational Overview

Original Medicare Part A & B: Basic Terms to Know

Coverage: Simplified

Factors that Affect: Rates

Additional Information

Initial Enrollment Period

Special Enrollment Period

Speak with a licensed insurance agent to review your plan options and possibly enroll in a Medicare Advantage Plan.