There are four parts of Medicare
A
HOSPITAL
COVERAGE
Inpatient coverage
B
MEDICAL
COVERAGE
Doctor and
Outpatient Coverage
C
MEDICARE
ADVANTAGE
Medicare A, B & D
benefits administered by
private insurance companies
D
Rx DRUG
COVERAGE
Voluntary Drug
coverage provided by
private insurance
companies.
Part A
Inpatient Hospital Stays
Inpatient Skilled Nursing Facility
Hospice Care
No cost for most individuals
Deductible: $1,632 (per benefit period)
Part B
Physician services
Outpatient Services
Home Health Care
Durable Medical Equipment (DME)
Diagnostic Services (Labs, X-rays, MRI, etc)
Premium: $174.70, may be higher for
some individuals (potential IRMAA)
Deductible: $240/ Co-insurance 20%
OPTION 1
Medicare Supplement
Covers Medicare’s deductibles and coinsurance
Access to all Doctors that accept Medicare, Nationwide
Guaranteed renewable
Monthly premium based on your age
May include gym membership
Prescription Drug (Part D) coverage purchased separately
OPTION 2
Medicare Advantage
Medicare A + B Benefits are provided by private insurance companies
Generally, Low monthly premiums. (many plans have no premium)
Predictable copays for covered services
PPO/HMO Doctor Networks may apply
Worldwide coverage for urgent and
emergency care
Generally includes prescription coverage (Part D)
Many plans include Dental/Vision/Hearing/GymMembership
If you are new to Medicare or turning
65, its extremely important to know
who can enroll and when to enroll in Medicare.
Medicare Initial Enrollment Period (IEP)
You can first sign up for Part A and/or Part B during the
7 month time period
that begins 3 months before you turn 65 and ends 3 months after.
We can help you avoid late enrollment penalties.
Special Enrollment Period (SEP)
If you are still working and elected not to take Medicare, you may qualify for a Special Enrolment Period (SEP) to enroll in Medicare at anytime- Penalty free.
Parts A + B
Generally, people are entitled to Part A at no cost as long as you or your spouse has worked 40 quarters.
Part B has a base premium of $185.00/month. The cost could be higher based on your household income. To determine your Part B costs, see chart below:
2023 Household MAGI
File individual tax return
File joint tax return
Part B Monthly
Premium
Part D IRMAA*
Total You Pay
Each Month
(in 2025)
$103,000 or less
$206,000 or less
$185.00
$0.00
$185.00
$103,001 – $129,000
$206,001 – $258,000
$257.70
$15.20
$272.90
$129,001 – $161,000
$258,001 – $322,000
$336.20
$39.20
$375.40
$161,001 – $193,000
$322,001 – $386,000
$416.60
$63.70
$480.30
$193,001 – $500,000
$386,001 – $750,000
$496.80
$88.80
$585.60
Above $500,000
Above $750,000
$543.50
$98.60
$642.10
We represent all of the major companies and only make a plan recommendation after getting to know you one-on-one.
Or covered by your employer?
If so, the options may seem overwhelming. Lets start by helping you understand the Parts of Medicare.
There are four parts of Medicare
A
HOSPITAL
COVERAGE
Inpatient coverage
B
MEDICAL
COVERAGE
Doctor and
Outpatient Coverage
C
MEDICARE
ADVANTAGE
Medicare A, B & D
benefits administered by
private insurance companies
D
Rx DRUG
COVERAGE
Voluntary Drug
coverage provided by
private insurance
companies.
Part A
Inpatient Hospital Stays
Inpatient Skilled Nursing Facility
Hospice Care
No cost for most individuals
Deductible: $1,600
(per benefit period)
Part B
Physician services
Outpatient Services
Home Health Care
Durable Medical Equipment
Diagnostic Services
Premium: $164.90, may be higher for some individuals (potential IRMAA) Deductible: $226 / Co-insurance 20%
OPTION 1
Medicare Supplement
Covers Medicare’s deductibles
Access to all Doctors that
Guaranteed renewable
Monthly premium based
May include gym membership
Prescription Drug (Part D)
OPTION 2
Medicare Advantage
Medicare A + B Benefits are
Generally, Low monthly
Predictable copays for
PPO/HMO Doctor Networks
Generally includes prescription
Many plans include Dental /
If you are new to Medicare or turning 65, its extremely important to know who can enroll and when to enroll in Medicare.
Medicare Initial Enrollment Period (IEP)
You can first sign up for Part A and/or Part B during the
7 month time period
that begins 3 months before you turn 65 and ends 3 months after.
We can help you avoid late enrollment penalties.
Special Enrollment Period (SEP)
If you are still working and elected not to take Medicare, you may qualify for a Special Enrolment Period (SEP) to enroll in Medicare at anytime- Penalty free.
Parts A + B
Generally, people are entitled to Part A at no cost as long as you or your spouse has worked 40 quarters.
Part B has a base premium of $185.00/month. The cost could be higher based on your household income. To determine your Part B costs, see chart below:
We represent all of the major companies and only make a plan recommendation after getting to know you one-on-one.
