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What is Original Medicare?

A Federal Health Insurance program

Original Medicare is comprised of two parts:

  • Part A -  helps pay for hospital stays
    and inpatient care.
  • Part B - helps pay for doctor visits and outpatient care.

Medicare pays a fee for your care directly to the doctors and hospitals you visit.

Original Medicare has no limit to your out-of-pocket costs.

Who can get Medicare?

Medicare Eligibility

U.S. citizens and legal residents. (Legal residents must live in the U.S. for the 5 years just before applying for Medicare.)


You Must also meet one of the following:

  • Age 65 or older
  • Younger than 65 with a qualifying disability
  • Any age with a diagnosis of end-stage renal disease or ALS

Medicare Late Enrollment Penalties

PART A Late Enrollment

People who pay a Part A premium (most don’t) could pay an additional 10% of the premium amount. The penalty is charged every month for twice the number of years enrollment was delayed.

PART B Late Enrollment

You could pay an additional 10% of the premium amount for each full 12-month period enrollment is delayed. The penalty is charged every month for as long as you have Part B.

PART D Late Enrollment

You could pay an additional 1% of the average Part D premium for each month you delay enrollment. The penalty is charged every month for as long as you’re enrolled in Part D.

Find out more

Plans are insured or covered by a Medicare Advantage (HMO, PPO, and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. We do not offer every plan in your area. Please contact medicare.gov or 1-800-Medicare to get information on all your options.


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