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Medicare 101

Your complete, plain-English Medicare guide

New to Medicare? Start here. Medicare has four parts — A, B, C, and D. Below are the basics, then dig into any topic.

Part A — Hospital

Inpatient hospital, skilled nursing, hospice. Usually premium-free if you worked 10+ years.

Part B — Medical

Doctor visits, outpatient care, preventive services. Monthly premium set by income.

Part C — Advantage

A private all-in-one alternative bundling A, B, and usually D, often with extras.

Part D — Drugs

Prescription drug coverage, with a 2026 out-of-pocket cap of about $2,100.

Getting-started questions

Is Medicare free?

Not entirely. Part A is usually premium-free if you or your spouse paid Medicare taxes for 10+ years. Part B has a standard monthly premium set each year, and Part D and Medicare Advantage premiums vary by plan — some Advantage plans are $0 premium, but $0 premium is not the same as free, because you still have copays and deductibles.

Is Medicare the same as Medicaid?

No. Medicare is federal health insurance based mainly on turning 65 (or disability), regardless of income. Medicaid is a joint state-federal program based on limited income and resources. Some people qualify for both and are called 'dual-eligible,' which often unlocks extra help.

When should I start learning about Medicare?

About 6 months before you turn 65. That gives you time to understand your options before your Initial Enrollment Period opens (the 7 months around your birthday) so coverage is ready the day you're eligible.

Do I need Part D if I don't take any medications?

Usually yes, to avoid a permanent late-enrollment penalty later. A low-cost Part D plan now is almost always cheaper than the penalty you'd owe for life if you sign up after going without creditable coverage.

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