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Eligibility

Who is eligible for Medicare?

Individuals must be a U.S. citizen or permanent legal resident for at least five consecutive years. You must also meet at least one of the following criteria for Medicare eligibility:

  • You are age 65 or older and eligible for Social Security
  • You are permanently disabled and have received disability benefits for at least two years
  • You have been diagnosed with End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS or Lou Gehrig’s disease)

Do you have to take Medicare benefits at age 65?

It depends on your individual situation. We strongly encourage you to speak to one of our advisors to evaluate your options and ensure you avoid any potential penalties.


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Coverage & Costs

What does Medicare coverage consist of?

Medicare consists of four basic parts: Part A, Part B, Part C, and Part D. Generally, the different parts of Medicare help cover specific services. Our advisors can help determine the combination of these four parts that is right for you.

The Four Parts of Medicare

Medicare Part A Icon
Part

A

Covers hospital-related services

How much does it cost?

You usually don’t pay a monthly premium for Medicare Part A coverage if you or your spouse paid Medicare taxes while working for at least 10 years. This is sometimes called “premium-free Part A” and most people get it. If you don’t qualify for premium-free Part A, you can buy Part A.

Medicare Part B Icon
Part

B

Covers doctor’s office visits and outpatient hospital stays

How much does it cost?

You pay a premium each month for Medicare Part B. The standard Part B premium amount in 2025 is $185 (or higher depending on your income). Most people pay the standard Part B premium amount.

Medicare Part C Icon
Part

C

“Medicare Advantage” covers both Part A and Part B with additional coverage

How much does it cost?

Medicare Part C costs varies by the plan you select and the extra features it includes as this is a comprehensive alternative to Original Medicare offered by private companies.

Medicare Part D Icon
Part

D

Covers prescription drugs

How much does it cost?

Medicare Part D cost varies — they are set by insurance companies and are approved by the government.


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Enrollment

Our advisors make it easy.

We streamline the enrollment process for you. Our advisors go the extra mile to ensure you have a simple, seamless experience getting started with the plan you choose.

When to Apply for Medicare

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Initial enrollment period
begins three months before
the month you turn 65

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Your 65th Birthday

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Initial enrollment period
ends three months after
the month you turn 65

When you’re first eligible for Medicare, you have a 7-month Initial Enrollment Period. If you are eligible for Medicare when you turn 65, you can sign up during the 7-month period that begins three months before the month you turn 65, includes the month you turn 65, and ends three months after the month you turn 65. We recommend contacting one of our expert advisors for Medicare advice approximately six months before you turn 65.

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