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Medicare

Everything Medicare covers, costs, and requires, explained simply. Call 1-800-MEDIGAP for free help.

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Quick answer

Medicare is the U.S. federal health insurance program for people 65 and older and some younger people with disabilities. It includes Part A (hospital), Part B (medical), Part C (Medicare Advantage), and Part D (drugs). The standard 2026 Part B premium is $202.90 monthly (CMS).

Medicare is the foundation of health coverage for older Americans. Here is what it includes, what it costs, and how to get the right plan.

What does Medicare include?

Medicare has four parts. Part A pays for inpatient hospital, skilled nursing, hospice, and some home health care, and is premium-free for most. Part B pays for doctor visits, outpatient care, and preventive services. Parts A and B together are Original Medicare. Part C (Medicare Advantage) is a private all-in-one alternative, and Part D covers prescription drugs. Many people add a Medicare Supplement (MEDIGAP) policy to cover the gaps Original Medicare leaves. To learn which combination fits you, call 1-800-MEDIGAP.

How much does Medicare cost in 2026?

Most people pay no premium for Part A but face a $1,736 hospital deductible per benefit period in 2026. The standard Part B premium is $202.90 per month with a $283 annual deductible, and higher earners pay IRMAA surcharges (CMS). Original Medicare then covers about 80% of Part B services, leaving you the remaining 20% with no spending cap. A MEDIGAP plan can cover most of that gap. Call 1-800-MEDIGAP for a cost estimate tailored to you.

How do I get help choosing Medicare coverage?

Choosing between Original Medicare with a MEDIGAP plan and Medicare Advantage depends on your doctors, medications, travel, and budget. A licensed agent can compare plans, check that your prescriptions are covered, and confirm your enrollment deadlines so you avoid penalties. This guidance is free and carries no obligation. Call 1-800-MEDIGAP to speak with a licensed agent who can walk you through every option in plain English.

More on Medicare Basics & Enrollment

Frequently asked questions

What are the four parts of Medicare?+

Part A covers hospital and inpatient care. Part B covers doctors, outpatient care, and preventive services. Part C, or Medicare Advantage, is a private plan that bundles A and B and usually D. Part D covers prescription drugs. Original Medicare refers to Parts A and B together.

Who qualifies for Medicare?+

People age 65 and older who are U.S. citizens or lawful permanent residents of at least five years qualify, as do younger people who have received Social Security disability for 24 months or who have ALS or end-stage renal disease. Most get premium-free Part A after 10 years of Medicare taxes.

Is Medicare the same as Medicaid?+

No. Medicare is a federal program based mainly on age or disability, while Medicaid is an income-based program run jointly by states and the federal government. Some people qualify for both. Call 1-800-MEDIGAP to understand how each applies to you.

Does Medicare cover everything?+

No. Original Medicare does not cover routine dental, vision, hearing, hearing aids, most long-term care, or care abroad, and it has no out-of-pocket maximum. MEDIGAP and Part D plans help fill these gaps. A licensed agent at 1-800-MEDIGAP can explain your options.

Talk to a licensed specialist โ€” free.

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What Is Medicare? 2026 Guide | 1-800-MEDIGAP