The four parts of Medicare, side by side
Part A, Part B, Part C and Part D do different jobs. Here's what each one covers and how they fit together — then call and we'll work out which shape fits you.
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At a glance
What each part covers
Costs are set annually and vary by plan and county, so figures aren’t listed here — an agent can tell you the current numbers for your area.
| Part | What it covers | How you get it | How costs work |
|---|---|---|---|
| Part AHospital insurance | Inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. | Part of Original Medicare, from the federal government. | Premium-free for most people who paid Medicare taxes long enough while working. Deductibles and coinsurance apply and are set each year. |
| Part BMedical insurance | Doctor visits, outpatient care, preventive services, lab work, and durable medical equipment. | Part of Original Medicare, from the federal government. | A standard monthly premium set each year, higher for higher incomes, plus an annual deductible and typically 20% coinsurance. |
| Part CMedicare Advantage | Everything Parts A and B cover, at minimum. Often bundles Part D, and may add dental, vision, hearing or fitness benefits. | An alternative route — a private plan approved by Medicare replaces how you receive your benefits. | Varies by plan; some have no additional premium. You keep paying your Part B premium. Every plan has an annual out-of-pocket maximum. |
| Part DPrescription drug coverage | Prescription medications, according to each plan's own formulary and tiers. | A private plan, either standalone alongside Original Medicare or built into a Part C plan. | Varies by plan. A late enrollment penalty can apply if you go without creditable drug coverage. |
How they fit together
Two common routes
Original Medicare, built up
Parts A and B from the government, usually plus a Medicare Supplement plan to help with your share of the costs, plus a standalone Part D plan for prescriptions.
Any provider that accepts Medicare · no networks · three pieces to manage
Medicare Advantage, all in one
Parts A and B, received through a single private Part C plan that usually includes prescription coverage and may add dental, vision or hearing benefits.
Network-based · annual out-of-pocket maximum · one plan to manage
You choose one route or the other — a Supplement plan can’t be used with an Advantage plan.
Timing
When you can make changes
Initial Enrollment Period
A seven-month window: the three months before the month you turn 65, that month, and the three months after.
Annual Enrollment Period
October 15 to December 7 each year. You can join, switch or drop a Medicare Advantage or Part D plan; changes take effect January 1.
Medicare Advantage Open Enrollment
January 1 to March 31, if you're already in an Advantage plan. You can switch once to another Advantage plan or return to Original Medicare.
Medigap Open Enrollment
Six months beginning when your Part B coverage starts. Inside it you can generally buy any Supplement plan sold in your area regardless of health.
Read more about a specific plan type
Common questions
Questions about how Medicare works
What's the difference between Original Medicare and Medicare Advantage?
Do I have to take Part B?
Which parts do I actually need?
What happens if I miss my enrollment window?
Still working out where you fit?
Most people are. Tell a licensed agent about your doctors and prescriptions and they’ll explain your options — no cost, no obligation.