Medicare Frequently Asked Questions

Can I enroll in a Medicare Supplement or Medicare Advantage without Parts A and B?

No. You must be enrolled in Original Medicare Parts A and B before you can enroll in a Medicare Supplement or Medicare Advantage plan. You must be enrolled in either A or B to apply for Part D as well.

Do Medicare drug plans have the same formulary?

No, each Medicare Part D plan will have it own formulary of medications. That formulary will differ from other formularies. However, Medicare does require all Part D policies to cover at least 2 drugs in each therapeutic class. That way, if you develop a new health condition mid-year, your doctor will have at least 2 medications that he or she can prescribe for your treatment.

Do I have to keep paying for Medicare Part B if I join a Medicare Advantage plan?

Yes. You must be enrolled in both A and B and live in the plan service area to join a Medicare Advantage plan.

Is it mandatory to enroll in Medicare Part D?

No. Part D is optional. If you do not enroll when you are first eligible though, you will be subject to a late enrollment penalty if you enroll later on.

Can I use a Medicare Advantage Plan with a Medicare supplement?

No, you must choose one or the other. Medigap plans only pay if Original Medicare is primary.

Is Part B the same as your Medicare Supplement?

No, Part B is the part of Medicare that pays for your outpatient coverage. You add a Medicare supplement to cover your deductibles and the 20% that Medicare doesn't cover.

When Should You Apply for Medicare?

Most people will apply for Medicare during their Initial Enrollment Period window which is a 7-month window around their 65th birthday month. However, if you are already receiving Social Security benefits, then you will be automatically enrolled in Part A and Part B.

Additionally, if you are covered by large employer insurance due to active employment, then you can delay Medicare past your 65th birthday

What is the difference between Medicare Supplement and Medicare Advantage?

There are many differences between Medicare Supplements and Medicare Advantage plans. A Medicare Supplement is a secondary plan that works alongside Original Medicare. They tend to have higher premiums, but less out-of-pocket expenses during the year.

An Advantage plan is an alternative way to receive your Medicare benefits and they have lower premiums, but can have more out-of-pocket expenses during the year.

Do I need Medicare Part B if I enroll in an Advantage plan?

Yes. You must be enrolled in Medicare Part A and Part B in order to enroll in a Medicare Advantage plan or a Medicare Supplement plan