New to Medicare? We'll Guide Your First Steps
Navigating Medicare for the first time can be overwhelming. We'll help you understand your options, important deadlines, and how to make the most of your benefits starting at age 65.
Medicare Basics for First-Time Enrollees
Understanding the four parts of Medicare is your first step to making informed decisions.
Hospital Insurance
Covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
Premium
$0 for most people (premium-free Part A if 10+ years of Medicare taxes paid). If not qualifying: $311 or $565/month depending on work history.
Inpatient Deductible
2026 Part A deductible per benefit period: $1,736. Covers first 60 days of a hospital stay.
Coinsurance (2026)
- Days 61-90: $434 per day
- Days 91-150: $868 per day (lifetime reserve days)
- Skilled nursing coinsurance after 20 days: $217 per day (days 21-100)
Coverage note: Part A doesn’t cover long-term custodial care. Consider Medigap or Advantage if you need broader coverage.
Medical Insurance
Covers certain doctors' services, outpatient care, medical supplies, and preventive services.
Standard Premium
2026 standard Part B premium: $202.90 per month (or higher depending on income). Some pay higher based on IRMAA (income-related monthly adjustment).
Annual Deductible
2026 Part B deductible: $283. After deductible, typically pay 20% coinsurance for most services.
Coinsurance & Preventive Care
- General coinsurance: 20% after deductible for most services
- Clinical laboratory services: $0
- Home health care: $0
- Durable medical equipment: 20%
Many preventive services are covered without coinsurance if billed as preventive.
Medicare Advantage
A Medicare-approved plan from a private company that bundles your Part A, Part B, and usually Part D coverage.
- ✓All-in-one alternative to Original Medicare
- ✓May include extra benefits like vision, dental, and hearing
- ✓Often includes prescription drug coverage
Prescription Drug Coverage
Helps cover the cost of prescription drugs, including many recommended shots or vaccines.
- ✓Run by Medicare-approved private insurance companies
- ✓Join when first eligible to avoid penalties
- ✓Monthly premium, yearly deductible, and copayments vary by plan
Not sure which Medicare path is right for you?
Many people turning 65 also consider Medicare Supplement (Medigap) policies to help pay for costs that Original Medicare doesn't cover. Our Medicare specialists can explain how these options fit with your situation and help you compare costs.
Your Medicare Enrollment Journey
Follow these steps to ensure a smooth transition into Medicare coverage.
Check Your Eligibility
Most people qualify for Medicare at age 65. You may qualify earlier if you have certain disabilities or conditions.
Know Your Enrollment Period
Your Initial Enrollment Period is 7 months long: 3 months before your 65th birthday month, your birthday month, and 3 months after.
Compare Your Coverage Options
We'll help you compare and understand the differences between Original Medicare (Parts A & B) with optional Part D and Medigap, or a Medicare Advantage (Part C) plan.
Enroll in Medicare
We'll guide you through the enrollment process, whether you're automatically enrolled through Social Security or need to sign up directly. We can help you enroll in the right plans for your needs.
We're Here to Help You Compare and Enroll
Our Medicare specialists will help you compare all available plans, understand your options, and assist with enrollment to ensure you don't miss any important deadlines or requirements.
Your Medicare Checklist
Use this checklist to make sure you're prepared for Medicare enrollment.
3-6 Months Before
- Verify your eligibility for Medicare
- Research Medicare Part A, B, C, and D coverage options
- List all current medications to evaluate Part D plans
- Check if your doctors accept Medicare
- Consider how Medicare works with existing insurance
Starting early gives you time to compare plans and make informed decisions.
At Enrollment
- Sign up for Medicare Parts A & B through Social Security
- Decide between Original Medicare or Medicare Advantage
- Select and enroll in a Medicare Part D prescription drug plan
- Consider supplemental coverage (Medigap) if choosing Original Medicare
- Apply for Medicare Savings Programs if eligible
Missing your Initial Enrollment Period can result in permanent penalties.
After Enrolling
- Look for your Medicare card in the mail
- Create your MyMedicare.gov account
- Schedule your "Welcome to Medicare" preventive visit
- Update your healthcare providers about your new coverage
- Mark your calendar for the Annual Enrollment Period (Oct 15-Dec 7)
Review your coverage annually to ensure it still meets your needs.
Common Questions About First-Time Medicare Enrollment
Get answers to the most frequently asked questions about signing up for Medicare.
Have more questions about Medicare?
Ready to Navigate Your Medicare Journey with Confidence?
Our Medicare specialists help first-time enrollees find the perfect coverage for their unique healthcare needs, explaining options in simple terms and guiding you through every step of the process.
Free Personalized Medicare Guidance
Get answers to your specific questions and concerns about Medicare
Compare All Available Options
We'll help you compare Medicare Advantage, Supplements, and Part D plans
Ongoing Support
We'll be there to help you beyond your initial enrollment