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Medicare Basics

Medicare has four parts, multiple plan types, and a set of enrollment rules that vary based on your situation. Start here to understand how it all fits together.

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Part A — Hospital

Covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health services.

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Part B — Medical

Covers doctor visits, outpatient care, preventive services, and durable medical equipment. Requires a monthly premium.

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Part C — Medicare Advantage

Private plans that replace Original Medicare. Usually bundle Parts A, B, and drug coverage — often with $0 premium.

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Part D — Drug Coverage

Prescription drug coverage — either bundled with a Medicare Advantage plan or added as a standalone plan alongside Original Medicare.

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MAPD vs. Medicare Supplement

The most important coverage decision most people make at 65. Side-by-side comparison of costs, flexibility, and who each fits best.

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MSA Plans

Medicare Savings Account plans pair a high-deductible Medicare Advantage plan with a Medicare-funded savings account. Unusual but powerful for the right person.

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Why Wisconsin Is Different

Wisconsin has its own Medigap structure, a unique state drug program (SeniorCare), and a strong regional carrier market. What you read elsewhere may not apply here.

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IRMAA — Income Surcharges

Higher-income beneficiaries pay more for Parts B and D. Learn how IRMAA is calculated, see the 2026 brackets, and find out how to appeal.

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Glossary

Medicare has its own vocabulary. Deductible, coinsurance, formulary, creditable coverage — plain-English definitions for the terms that come up most.

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Not sure where to start?

Use our Medicare Timeline tool to find your enrollment dates, or talk to an agent for a guided walkthrough of your specific situation.