Yes. If you or your spouse are actively working and covered by employer group health insurance, you may be able to delay enrolling in Medicare Part B without a late enrollment penalty. Once that coverage ends, you’ll qualify for a Special Enrollment Period to sign up for Part B. It’s important to confirm that your employer coverage is considered “creditable” to avoid penalties.

Medicare Parts A and B make up Original Medicare, provided directly by the federal government. Part C, also known as Medicare Advantage, is offered by private insurance companies approved by Medicare. Medicare Advantage plans must provide the same coverage as Parts A and B and often include additional benefits such as prescription drug coverage, dental, vision, and hearing.

No. Original Medicare (Parts A and B) does not include an annual out-of-pocket maximum. Beneficiaries are responsible for deductibles, coinsurance, and copayments without a yearly cap. This is one reason some individuals consider Medicare Supplement (Medigap) or Medicare Advantage plans for added financial protection.

Your income may affect your Part B and Part D premiums through an Income-Related Monthly Adjustment Amount (IRMAA). Higher-income beneficiaries pay an additional amount based on their reported income from prior tax years. This adjustment does not apply to most Part A beneficiaries unless they pay a premium.

Yes, but only during certain enrollment periods. You can make changes during the Annual Enrollment Period (October 15 – December 7). If you’re enrolled in a Medicare Advantage plan, you can make a one-time change during the Medicare Advantage Open Enrollment Period (January 1 – March 31). Special Enrollment Periods may also apply due to qualifying life events.