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Medicare Basics

Is it time to start thinking about Medicare?

If you’re approaching 65 and you’ve started thinking about retirement, you’ve come to the right place. We can help you understand the Medicare basics, choose the right plan, and enroll in a Medicare plan.

What is Medicare?

Medicare is a federal health insurance program for people who are at least 65 years old. People under 65 who suffer from certain disabilities and illnesses, like end-stage renal failure, can also get Medicare. This insurance helps people pay for things like hospital stays, hospice care, and more. Highmark contracts with the federal government to provide additional Medicare insurance plans to help people pay for other health care expenses that are not covered by the government.

The different types of Medicare insurance

Medicare can be broken down into 4 basic parts – parts A, B, C, D plus Medigap. Some have a few names: Medicare parts A and B are often called Original Medicare, part C is called Medicare Advantage, and Medigap can be called Medicare Supplement. Each Medicare part pays for different things, like hospital bills or prescriptions. Visit our Medicare Parts page to learn more about what each Medicare plan type is used forand how to find the best option.

WATCH VIDEO  1

Medicare star ratings

Every year, Medicare evaluates plans based on 5-star rating system. These ratings tell you how well a health plan performs overall — the higher the rating, the better the care. When a plan receives 5 stars, a Special Enrollment Period (SEP) is created. This SEP gives you the opportunity to switch from your current plan to a 5-star plan anytime before November 30.

Learn more  details on these top-rated plans.

WATCH VIDEO  1

Medicare eligibility

While most people become eligible for Medicare when they turn 65, there are some exceptions. We can help you understand who is eligible for Medicare insurance and when.



Medicare cost

We’ll go over the basic costs associated with the different health insurance plans and help you find programs that can help make your Medicare costs more manageable.

 

Caregiver support

Caring for somebody is hard enough. But trying to manage that person’s health insurance or Medicare adds a new set of problems. We can help you navigate these challenges.

FAQs

If you still have questions, you can probably find the answers on our Frequently Asked Questions page.

 

 

1By accessing this video tile, I understand that I am leaving the Highmark website and I will be re-directed to an external website operated by a third party platform provider. I acknowledge that the platform provider may collect personal information about me, and about the video that I view, on their platform and may use and disclose this information in accordance with its privacy policy. I agree that Highmark is not responsible for the data collection and use practices of this third party.

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Last updated on September 30, 2024

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®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.

Highmark Blue Cross Blue Shield is a Medicare Advantage HMO, PPO, and/or Part D plan with a Medicare contract. Enrollment in these plans depends on contract renewal.  Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield serves western New York and is an independent licensee of the Blue Cross Blue Shield Association.

All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.

Blue Edge Dental may be offered by Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield, which is an independent licensee of the Blue Cross Blue Shield Association. United Concordia is a separate company that provides the provider network for Blue Edge Dental and administers dental benefits.