Medicare Coverage

Understanding Medicare Coverage

Learn what Medicare covers, what it doesn't, and how to fill the gaps with the right supplemental coverage.

Medicare Parts A, B, C & D

Part A
Hospital Insurance

Inpatient hospital care, skilled nursing facility care (limited), hospice care, and some home health care.

Cost: Usually free if you or your spouse paid Medicare taxes for 10+ years.

Part B
Medical Insurance

Doctor visits, outpatient care, preventive services, durable medical equipment, and some home health care.

Cost: Standard premium of $185/month in 2025 (higher for high earners).

Part C
Medicare Advantage

Everything Parts A & B cover, plus often dental, vision, hearing, and prescription drugs.

Cost: Varies by plan — many have $0 premium.

Part D
Prescription Drug Coverage

Prescription medications. Available as a standalone plan or included in Medicare Advantage.

Cost: Varies by plan — typically $10–$50/month.

Map coverage decisions to the right enrollment window

Coverage questions are easier to solve when you know which deadline applies to you. Use the Medicare enrollment timeline to understand when to choose Parts A and B, when to compare plan types, and when yearly changes are available.

Common questions about Medicare coverage gaps

These quick answers help explain where Original Medicare stops and where supplemental coverage decisions begin.

Original Medicare generally does not cover routine dental care, routine vision, hearing aids, long-term custodial care, and there is no built-in cap on your out-of-pocket spending. That is why many people compare Medigap, Part D, Medicare Advantage, and standalone ancillary coverage after enrolling in Parts A and B.

Helen the Wise Owl

Get Help Understanding Your Coverage Options

Deborah will explain your Medicare coverage options in plain language and help you choose the right combination for your needs.