Medicare: What You Need to Know
Friendly guidance from Jake McGeoy, your local Medicare advisor serving Maryland, Pennsylvania, and Virginia
Medicare is a federal health insurance program that’s been helping Americans get the care they need for decades. It’s designed for:
People age 65 or older
People under 65 with certain disabilities
People of any age with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant)
While Medicare is run by the government, it’s not a one-size-fits-all program. There are different parts — each covering specific services — and choosing the right combination can make a huge difference in your coverage and costs. That’s where I come in.
Part A Hospital Insurance
For most people, Part A comes with no monthly premium because you or your spouse paid into it through payroll taxes while working.
Part A helps cover:
- Inpatient hospital care (including critical access hospitals)
- Skilled nursing facility care (short-term rehabilitation, not long-term custodial care)
- Hospice care for those with terminal illness
- Some limited home health care
Part B Medical Insurance
Part B does have a monthly premium, and it covers the care you’re more likely to use regularly.
Part B helps cover:
- Doctor visits and outpatient care
- Lab tests, X-rays, and preventive services
- Some home health care
- Services from physical and occupational therapists
Part B picks up where Part A leaves off — helping you cover medically necessary services and supplies outside of a hospital stay. Missing your Part B enrollment period can lead to lifetime penalties, so getting the timing right is important.
Part C Medicare Advantage
Part C, also called Medicare Advantage, is offered by private insurance companies approved by Medicare.
These plans bundle your Part A and Part B coverage, and most include Part D (prescription drug coverage). Many also offer extras like:
- Dental care
- Vision care
- Hearing aids
- Gym memberships or wellness programs
If you like the idea of an “all-in-one” plan with potentially lower out-of-pocket costs, Medicare Advantage may be a good fit. I can compare plans in your area to see which works best for your needs and budget.
Part D Prescription Drug Coverage
Medicare Part D is also offered by private insurers and helps cover the cost of prescription medications.
Part D plans:
- Require a monthly premium
- Have a list of covered drugs (called a formulary)
- Help protect against high medication costs now and in the future
If you don’t sign up for a Part D plan when you’re first eligible, you could face a late enrollment penalty — so timing is key. I can walk you through the options and make sure you’re covered.