Medicare Explained: A Simple Guide to Parts A, B, C, and D
Confused by Medicare? You're not alone. This plain-English guide breaks down every part of Medicare so you can make the right choice for your healthcare.
Medicare Explained: Parts A, B, C, and D
If you're turning 65 or helping a parent navigate Medicare, the alphabet soup of Parts A, B, C, and D can feel overwhelming. Let's break it down in plain English.
Part A: Hospital Insurance
What it covers: Inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care.
Cost: Most people pay $0 in premiums for Part A if they (or their spouse) paid Medicare taxes for at least 10 years.
Key number: $1,632 deductible per benefit period (2026).
Part B: Medical Insurance
What it covers: Doctor visits, outpatient care, preventive services, medical equipment, and some home health care.
Cost: Standard premium is $185/month in 2026 (higher earners pay more).
Key number: $257 annual deductible, then you pay 20% of the Medicare-approved amount.
Part C: Medicare Advantage
What it is: An all-in-one alternative to Original Medicare (Parts A + B), offered by private insurance companies.
What it adds: Most Part C plans include prescription drug coverage, dental, vision, hearing, and fitness benefits.
Cost: Many plans have $0 additional monthly premium (beyond your Part B premium).
Trade-off: You must use in-network providers in most plans.
Part D: Prescription Drug Coverage
What it covers: Prescription medications.
Cost: Premiums vary by plan (average around $33/month in 2026).
Important: If you don't enroll when you're first eligible, you may pay a late enrollment penalty.
When to Enroll
- Initial Enrollment Period: 3 months before your 65th birthday through 3 months after
- Annual Enrollment Period (AEP): October 15 - December 7 each year
- Medicare Advantage Open Enrollment: January 1 - March 31
How Coverage Cove Helps with Medicare
Our licensed Medicare specialists compare all available plans in your area, check that your doctors are in-network, verify your prescriptions are covered, and help you enroll over the phone.
Compare Medicare plans now — it's free and takes just a few minutes.