Understanding Medicare Part A & Part B

We understand that one of the biggest challenges in making your Medicare Coverage choices is simply understanding WHAT your options are and what each plan covers. To assist you, we have collected “starter” information for you.  Then, we are happy to meet with you personally & step you through your application process.

About Medicare Part A

About Medicare Part B

You usually don’t pay a monthly Premium for Medicare Part A – Original Medicare – coverage if your or your spouse paid Medicare taxes for a certain amount while working. This is sometimes called “premium-free Part A.”   Most people get premium-free Part A. You can get premium-free Part A at 65 if:

  • You already get retirement Benefits from Social Security or the Railroad Retirement Board.
  • You are eligible to get Social Security or Railroad benefits but haven’t filed for them yet.
  • You our your spouse had Medicare-covered government employment.

If you’re under 65, you can get premium-free Part A if:

  • You got Social Security or Railroad Retirement Board disability benefits for 24 months.
  • You have End-Stage Renal Disease (ESRD) and meet certain requirements.

In most cases, if you choose to buy Part A, you must also:

  • Have Medicare Part B (Medical Insurance)
  • Pay monthly premiums for both Part A and Part B

(Source: Medicare.gov)

Some people automatically get Medicare Part B (Medical Insurance), and some people need to sigh up for Part B.  If you don’t sign up for Part B when you are first eligible, you may have to pay a late enrollment penalty.

You pay a premium each month for Part B. Your Part B premium will be automatically deducted from your benefit payment if you get benefits from one of these:

  • Social Security
  • Railroad Retirement Board
  • Office of Personnel Management

If you do not get these benefit payments, you will get a bill for your premium.

Most people will pay the standard premium amount.  If your modified adjusted gross income is above a certain amount, you may pay an Income Related Monthly Adjustment Amount (IRMAA). Medicare uses the modified adjusted gross income reported on your IRS tax return from 2 years ago.  This is the most recent tax return information provided to Social Security by the IRS.

(Source: Medicare.gov)

Apply for Medicare Part B at the Official Website of the U.S. Social Security Administration

You can apply online for Medicare even if you are not ready to retire. Use our online application to sign up for Medicare. It takes less than 10 minutes. In most cases, once your application is submitted electronically, you’re done. There are no forms to sign and usually no documentation is required. Social Security will process your application and contact you if we need more information. Otherwise, you’ll receive your Medicare card in the mail.

DID YOU KNOW:  Medicare is mailing new Medicare cards without Social Security numbers printed on them. There’s nothing you need to do! You’ll receive your new card at no cost at the address you have on file with Social Security. If you need to update your mailing address, log in to or create your my Social Security. To learn more, visit Medicare.gov/newcard.

Medicare Help Florida Featured in Florida Today: "Making Sense of Medicare Part D"

In order to help retirees sensibly afford their medications, the federal government added Prescription Drug coverage, Medicare Part D, in 2006 to go along with Original Medicare Parts A (hospitalization) and B (medical). Part D is an optional United States federal-government program administered by private insurance companies to help Medicare beneficiaries pay for self-administered prescription drugs.

Mike R.
Senior Insurance Agent

If you have questions about Medicare Part A & B, or need assistance with your application, let us help!

Kim A-C.
Senior Insurance Agent