10 Medicare Misconceptions Every Agent Should Clarify

10 common Medicare misconceptions every agent should clarify for their clients:

1. Medicare is Free
   Many people think Medicare is free, but most parts require premiums, deductibles, and co-payments, particularly for Part B and Part D.

2. Medicare Covers All Health Care Costs
   Medicare doesn’t cover everything. There are gaps in coverage, such as dental, vision, hearing, and long-term care, that clients need to plan for.

3. Medicare and Medicaid Are the Same
   Medicare and Medicaid serve different purposes. Medicare is primarily for people 65+ and some younger individuals with disabilities, while Medicaid is a state and federal program for low-income individuals.

4. Medicare Automatically Includes Prescription Drug Coverage
   Medicare Part A and Part B do not cover prescription drugs. Clients need to enroll in a standalone Part D plan or choose a Medicare Advantage plan that includes drug coverage.

5. You Can Sign Up for Medicare Anytime After 65
   There’s a limited enrollment window. Missing it can result in late penalties, particularly for Part B and Part D.

6. Medicare Advantage Plans Are Always the Best Option
   Medicare Advantage plans can be great, but they aren’t for everyone. Some clients may prefer the flexibility of Original Medicare with a Medigap plan for broader provider access.

7. Medigap Covers Everything Medicare Doesn’t
   While Medigap fills in some gaps, it doesn’t cover all additional costs, such as prescription drugs, dental, or vision care.

8. You Don’t Need Medicare if You Have Employer Coverage
   Some assume they can skip Medicare if they’re working past 65. However, enrolling in Medicare when eligible is often the best move, depending on the size of the employer and coverage offered.

9. Medicare Covers Long-Term Care
   Medicare only covers short-term stays in skilled nursing facilities after a hospital stay. It doesn’t cover custodial care or long-term care.

10. You Can’t Change Medicare Plans After Signing Up
    Medicare has specific enrollment periods, such as the Annual Enrollment Period (AEP), that allow clients to switch or modify their plans if their needs change.

These clarifications help clients make informed decisions and avoid costly mistakes.