Medicare Overview

Helping Individuals, Families, and Business Owners SECURE their future and the future of their loved ones

While Medicare covers most healthcare expenses, it doesn’t cover everything. Medicare beneficiaries are responsible for a number of co-payments and deductibles, which can easily add up to thousands of dollars. If all you have is Original Medicare, you’ll need to pay these costs out-of-pocket.

As a result, many Americans buy additional private insurance to cover these gaps in coverage. There are two main categories of private insurance on the market: Medicare Advantage and Medicare Supplement plans. While these programs offer similar health benefits, they also have some significant differences that you need to consider.

Medicare Advantage vs Medicare Supplement Program Designs

Medicare Advantage and Medicare Supplement plans have different program designs. When you buy a Medicare Supplement plan, you are still enrolled in Original Medicare. Medicare pays the majority of your healthcare bills while private insurance simply covers the extra co-payments and deductibles.

When you enroll in a Medicare Advantage plan, you move completely into a private health insurance plan. That means your insurance company covers all your healthcare bills. Insurance companies must provide the same level of coverage as Original Medicare with their Medicare Advantage plans, with the exception of hospice care. The end result of the two programs is about the same; they just go through a different setup.

Frequently Asked Questions

What is Medicare and who can get it?
Most commonly used by people age 65 or older, some younger people are eligible for Medicare, too. Those include people with disabilities, permanent kidney failure and amyotrophic lateral sclerosis (Lou Gehrig’s disease). Medicare helps with the cost of health care, but it does not cover all medical expenses or the cost of most long-term care.

Yes, you can change your Medicare coverage during certain enrollment periods, such as the Annual Enrollment Period (AEP) and the Medicare Advantage Open Enrollment Period (MA OEP). Outside of these periods, you may qualify for a Special Enrollment Period (SEP) if you experience certain life events, such as moving, losing other coverage, or becoming eligible for Medicaid.

Medicare is divided into four parts:

  • Part A: Hospital Insurance
  • Part B: Medical Insurance
  • Part C: Medicare Advantage Plans
  • Part D: Prescription Drug Coverage

For more information about Medicare, you can visit the official website at, contact the Medicare hotline at 1-800-MEDICARE (1-800-633-4227).

You can also give us a call and schedule a no-cost consultation where we can help you understand your options! Call us at 417-883-9300 or click “Call Now” below: