Medicare 101

Your complete, plain-English Medicare guide

New to Medicare? Start here. Medicare has four parts — A, B, C, and D. Below are the basics, then dig into any topic.

Part A — Hospital

Inpatient hospital, skilled nursing, hospice. Usually premium-free if you or your spouse paid Medicare taxes for about 10 years.

Part B — Medical

Doctor visits, outpatient care, preventive services. Monthly premium set by income.

Part C — Advantage

A private plan that provides your Part A and Part B benefits. Most include Part D; extra benefits vary. You must have both Part A and Part B to join.

Part D — Drugs

Prescription drug coverage is offered through standalone plans and many Medicare Advantage plans. For 2027, the standard Part D deductible is $700 and the annual out-of-pocket threshold is $2,400. Plan premiums, covered drugs, pharmacies, deductibles, and cost-sharing vary; check current plan documents.

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Getting-started questions

Is Medicare free?

Medicare is not free for most people. Part A is usually premium-free if you or your spouse paid Medicare taxes long enough (generally 10 years). Part B has a monthly premium. Some Medicare Advantage plans have a $0 plan premium, but you generally still pay the Part B premium and may have deductibles, copays, or coinsurance. Part D premiums and other costs vary by plan.

Is Medicare the same as Medicaid?

No. Medicare is federal health insurance based mainly on age, while Medicaid is a joint federal-state program. Medicaid eligibility categories, income and resource rules, and covered services vary by state. Some people qualify for both; contact your state Medicaid agency to confirm eligibility.

What are the main ways to get Medicare coverage?

Most people choose Original Medicare (Part A and Part B), sometimes with a separate Part D drug plan and Medigap, or Medicare Advantage (Part C), which provides Part A and Part B through a private plan and may include Part D. Costs, provider rules, and benefits vary, so compare the specific options available to you.

Does Medicare cover prescription drugs?

Part D covers prescription drugs. You can get Part D through a separate drug plan with Original Medicare or through many Medicare Advantage plans; covered drugs, pharmacies, premiums, and other costs vary by plan.

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Related Medicare resources

Official Medicare information: Medicare Advantage · Medigap · Part D — Medicare.gov