Essential Steps to Take as You Approach Medicare at 65

Turning 65 is a milestone—and it’s also when you become eligible for Medicare. Here are five essential steps to ensure a smooth transition:

  1. Know Your Enrollment Periods: Your Initial Enrollment Period (IEP) begins three months before your 65th birthday and lasts seven months. Missing this window could lead to penalties.
  2. Learn About the Parts of Medicare:
    • Part A: Hospital insurance (usually free).
    • Part B: Medical insurance (monthly premium required).
    • Part C: Medicare Advantage (private plans offering additional benefits).
    • Part D: Prescription drug coverage.
  3. Assess Your Needs: Evaluate your healthcare needs, including doctors, prescriptions, and potential hospital visits. This evaluation helps decide between Original Medicare and Medicare Advantage.
  4. Compare Costs and Coverage: Check for deductibles, co-pays, and out-of-pocket maximums when choosing a plan.
  5. Get Help If Needed: Visit Medicare.gov or consult a licensed insurance agent for personalized guidance.

Tools: BenefitsOffices.com: Social Security Office Locations

Original Medicare vs. Medicare Advantage: What’s Best for You?

As you turn 65, choosing between Original Medicare and Medicare Advantage is one of your most important decisions. Here’s a breakdown to help:

Original Medicare:

  • Includes Part A and Part B.
  • Flexibility to see any doctor accepting Medicare.
  • Doesn’t include dental, vision, or prescription drugs (requires separate Part D plan).

Medicare Advantage (Part C):

  • Offered by private insurance companies.
  • Includes all Part A and Part B benefits, plus extras like dental, vision, and hearing.
  • Often includes prescription drug coverage.
  • Requires using a network of providers.

Pro Tip: If you prefer simplicity and added benefits, Medicare Advantage might be for you. But if you value flexibility and don’t mind additional plans, stick with Original Medicare.