Medicare

Medicare, with your priorities first

First understand the decision. Then compare what fits your timing, care and budget.

Build My Medicare Game Plan

This starts a conversation, not enrollment or a completed plan.

Corona
HEALTH & WEALTH
A guide to work with

Turning 65 Decision Kit

01Your timing02Your care03Your next steps
Open the web guideWeb guide + printable worksheet

Do you have a doctor you want to keep, or would you like help exploring someone new?

The care you already value matters. So does having room to consider a change.

When you are open to a change, Douglas can help you explore physicians he knows through professional relationships. Your preferences come first. Plan participation and appointment availability must be checked with the plan and practice.

A starting point, not an intake form

  • Keep my current doctor
  • I am open to a change
  • Help me explore a doctor
  • I am not sure yet

No doctor name or medical history is required here. We do not automatically send your information to practices or referral partners. A relationship is not a guarantee of clinical quality or coverage.

Two coverage paths. Different tradeoffs.

A + B

Medicare Original

Care from providers who accept Medicare, generally anywhere in the U.S. A separate Part D plan can cover prescriptions. Medigap may help with certain cost sharing for an additional premium.

Without supplemental coverage, Original Medicare has no annual out-of-pocket limit for covered Part A/B services.

C

Medicare Advantage

A private plan provides Part A/B benefits; most include Part D. Networks, referrals and prior authorization can shape access. Compare the exact plan, not only its name.

Plan rules include an annual limit on covered Part A/B out-of-pocket costs. You still pay the Part B premium. Medigap is not used with Advantage.

Official source: www.medicare.gov

Neither path is universally better. Check doctors, drugs, total costs, travel needs and enrollment rights together.

Still working? Ask before you act.

“I have insurance through work” is a starting point, not the complete answer.

Current-employment coverage can create different Part B timing options. Employer size and how the coverage pays matter. COBRA and retiree coverage are not the same as current-employment coverage for the usual Part B special enrollment rules.

Official source: www.medicare.gov
  1. Whose current employment provides the coverage?
  2. Which coverage pays first, and does employer size change that?
  3. Is the prescription coverage creditable?
  4. When will work or coverage end? Are there HSA contributions to coordinate?

Already enrolled? Review what changed.

Start with your plan’s Annual Notice of Change, the care you expect to use, and any change to doctors or prescriptions. A review does not automatically mean switching.

Annual health and drug plan elections

October 15 to December 7 generally allows changes for the following January 1. This is not the same as your initial Part A/B enrollment. Other enrollment periods may apply to your situation.

Medigap has its own rules

The federal six-month Medigap open enrollment period generally begins when you are at least 65 and enrolled in Part B. It does not recur every fall. State protections and guaranteed-issue rights require a separate review.

Official source: www.medicare.gov Official source: www.medicare.gov

A decision example, not a recommendation.

Imagine someone turning 65 who is still covered through a spouse’s current job and wants to keep a specialist. Instead of choosing a plan from its premium, first ask the benefits administrator how coverage coordinates. Then verify the specialist against the exact coverage options being considered. Until those answers are checked, the next step is verification, not enrollment.

Questions worth asking.

Do I need to know which plan I want?

No. Begin with your timing, doctor preferences, prescriptions and budget questions. Use an approved private process for detailed information, not a website message.

Can you guarantee I can keep my doctor?

No. Exact plan participation, location and appointment availability must be verified. Doctor preference is a starting point, not a coverage promise.

What about a plan you do not represent?

Douglas does not represent Kaiser or IEHP and cannot offer every plan. A plan outside his representation may still be appropriate to consider. Check directly with that plan, Medicare.gov or SHIP.

Are the guides tied to buying coverage?

No. The public guides and tools are available without buying insurance or booking an appointment. Using a tool does not give permission for marketing or information sharing.

Educational content reviewed September 26, 2026. Verify current rules and your circumstances.