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Get the Truth Behind 5 Common Medicare Myths

Avoid costly health insurance mistakes for older adults by knowing the truth behind 5 common Medicare myths

Medicare myths cause costly mistakes for seniors

Medicare is used by nearly 66 million Americans, but there’s still a lot of confusion about how the program works.

Commonly repeated myths and misconceptions can lead to costly mistakes for older adults.

To help your older adult get their essential health benefits, we share the truth behind 5 common myths about Medicare.


Myth #1: Medicare coverage is automatic once you turn 65

Popular belief: Seniors don’t have to do anything, they’ll be covered by Medicare as soon as they turn 65.

Truth: Not everyone will be automatically enrolled in Medicare Part A and Part B.

If your older adult doesn’t get a Medicare card in the mail 3 months before their 65th birthday, they need to go and sign up for a Medicare health insurance plan.

Myth #2: Older adults can enroll in Medicare anytime

Popular belief: It doesn’t matter when older adults sign up for Medicare, they can do it anytime and everything will be the same.

Truth: If older adults don’t enroll during the Initial Enrollment Period, they may have to pay higher premiums later.

Seniors are eligible for Medicare when they turn 65 and after they’ve worked for at least 10 years.

The best time to enroll is during the Initial Enrollment Period, which starts 3 months before their 65th birthday month and goes until 3 months after their birthday month.

Each year from October 15 to December 7 is the Open Enrollment Period. During this time, older adults can also renew, change, or enroll into healthcare and prescription drug plans.

Myth #3: Medicare is completely free

Popular belief: Medicare is a government benefit, so seniors don’t have to pay anything. They’ve already paid for it by paying taxes all their lives.

Truth: Even though Medicare is paid for by a tax-funded trust fund, people who have Medicare insurance coverage still have to pay monthly premiums and copays, coinsurance, or deductibles for services and prescription drugs.

However, many people can qualify for free Part A premiums if they meet certain conditions.

Also, people with low income may be eligible for one of the Medicare Savings Programs. Under these programs, the state helps to pay Medicare Part A and Part B premiums. 

For people who qualify, Medicare Savings Programs might also pay Part A and Part B deductibles, coinsurance, and copayments.

Seniors apply for Medicare Savings Programs through their state. The state will determine which program(s) they qualify for. Even if you don’t think your older adult qualifies, they should still apply just in case.


Myth #4: Medicare pays for everything medical-related

Popular belief: No matter what’s needed, as long as it’s related to health or medical care, Medicare will pay for it.

Truth: Medicare Part A and B cover most hospital and medical expenses.

Medicare Part C and D cover expenses and services not covered by Part A and B, like prescription drugs and other hospital fees.

But even with all those different parts, older adults still have to pay any doctor or facility fees that are not covered.

Myth #5: Medicare & Medicaid are the same thing

Truth: Medicare and Medicaid are two separate programs.

Medicare is for people 65 or older who have paid at least 10 years of social security.

Medicaid is an insurance program for low-income people of all ages that’s operated by each U.S. state.

Some people are eligible for both Medicare and Medicaid programs, but they have to apply for each program separately.

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By DailyCaring Editorial Team


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