What is the difference between Medicare Advantage and Medicare Supplement (Medigap)?
Medicare Advantage (Part C) replaces Original Medicare — you use network doctors and the plan manages your benefits. Medicare Supplements (Medigap) work alongside Original Medicare — you keep any doctor who accepts Medicare while the Medigap plan covers most of what Medicare doesn't. Advantage plans often have $0 premiums but have copays and networks; Supplements have monthly premiums but far more predictable out-of-pocket costs. The right choice depends on your health, travel habits, and doctors.
When should I enroll in Medicare?
Your Initial Enrollment Period (IEP) is the 7-month window surrounding your 65th birthday — 3 months before, the month of, and 3 months after. Missing this window without qualifying for a Special Enrollment Period (SEP) can trigger lifetime late-enrollment penalties. If you're still working and covered by employer insurance, different rules apply. We recommend scheduling a Medicare strategy session at least 6 months before your 65th birthday.
What does Medicare NOT cover?
Original Medicare does not cover routine dental, vision, hearing, or most long-term care. It also has no annual out-of-pocket maximum, meaning your costs could be unlimited if you have a major illness. These gaps are why many people choose a Medicare Supplement or Medicare Advantage plan with added benefits.
How much does Medicare cost in 2026?
Most people pay $0 for Medicare Part A (hospital) if they worked 40+ quarters. Part B (medical) has a standard monthly premium of $202.90 in 2026, though higher earners pay more through IRMAA surcharges. Part D (drug) costs vary by plan. Supplement premiums range from $80–$300+/month depending on your state and health.
What is IRMAA and how do I avoid it?
IRMAA (Income-Related Monthly Adjustment Amount) is a surcharge added to your Part B and Part D premiums if your income exceeds certain thresholds. In 2026, singles earning over $106,000 and couples over $212,000 pay higher premiums. We can help you plan distributions from retirement accounts strategically to manage your IRMAA bracket.
Can I change my Medicare plan each year?
Yes. The Annual Enrollment Period (AEP) runs October 15 – December 7 each year. During this window you can switch between Medicare Advantage plans, add/drop Part D drug coverage, or move from Medicare Advantage back to Original Medicare. Changes take effect January 1. A licensed advisor can compare all available plans in your zip code at no charge.
What are Medicare Special Needs Plans (SNPs)?
SNPs are specialized Medicare Advantage plans designed for people with specific chronic conditions (C-SNP), who are institutionalized (I-SNP), or who qualify for both Medicare and Medicaid (D-SNP). They offer coordinated care and benefits tailored to your condition. Not everyone qualifies — contact us to see if a SNP is right for you.
Do I need a separate Part D drug plan?
If you choose Original Medicare + a Medigap Supplement, you'll need a standalone Part D Prescription Drug Plan (PDP). Medicare Advantage plans typically include drug coverage. Skipping Part D when first eligible triggers a lifetime late enrollment penalty of 1% per month of delay.
What ancillary products complement Medicare?
Dental, vision, and hearing plans are popular additions since Original Medicare covers none of these. Hospital indemnity plans pay cash for each day you're hospitalized. Cancer, heart attack, and stroke policies provide lump-sum benefits if you receive a covered diagnosis. These products are typically very affordable and can dramatically reduce your out-of-pocket risk.
How do I get help comparing Medicare plans in my area?
Call or text us at 503-832-8555 or schedule a free 30-minute consultation at our Calendly link. We compare plans from multiple carriers at no cost to you — our compensation comes from the carriers, not from you.