Top 5 Medicare Myths Debunked

Think Medicare is free or covers everything? Discover the truth behind 5 common myths. Learn about real costs, enrollment periods, and how to choose the right plan for you.
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Medicare can feel confusing when you first approach it. You might hear mixed messages from friends or online sources. We understand—it’s normal to worry about getting it right. That’s why we’re debunking the top five myths with clear facts and engaging visuals so you feel confident.

Myth 1: Medicare Is Completely Free

Many believe Medicare costs nothing. In truth, most people get Part A (hospital) premium-free if they paid taxes 10+ years. But Part B (medical) has a standard monthly premium—about $185 in 2025.

Cost breakdown for Medicare Part A and Part B, dispelling the ‘Medicare is free’ myth

Myth 2: Medicare Covers Everything You Need

People often think Medicare pays for all health care. Actually, it covers basics like hospital stays and doctor visits but skips dental, vision, hearing aids, and long-term care.

·   Add a Part D plan for prescriptions.

·   Medicare Advantage plans often bundle extras like dental.

·   Medigap fills gaps in Original Medicare.

Myth 3: You Can Enroll in Medicare Anytime

This myth leads to costly penalties. You must enroll during specific windows: Initial Enrollment Period (IEP), General Enrollment Period (GEP), and Special Enrollment Periods (SEPs).

Timeline of Medicare enrollment periods

Key Enrollment Periods

·   IEP: 3 months before to 3 months after your 65th birthday month

·   GEP: January 1–March 31 each year

·   SEP: 60 days after qualifying life events (e.g., job loss)

Myth 4: Medicare Advantage Beats Original Medicare Always

Some say Medicare Advantage (MA) plans, which bundle Part A, B, D, are superior. Not always—it depends on your needs. MA offers low premiums and extras but limits you to networks. Medigap plus Original Medicare costs more but gives you freedom to see any Medicare-accepting provider.

Network vs freedom contrast for Medicare plans

Myth 5: You Lose Medicare If You Keep Working Past 65

Fear of losing benefits stops some from switching roles. Truth: You can keep working and still have Medicare. If your employer plan covers 20+ employees, you can delay Part B without penalty and enroll later via SEP when that coverage ends.

Next Step: Review your situation now. List your current coverage and any life changes. Then email us at support@simplestartinsurance.com or call (786) 730-9658 for a free, personalized Medicare myth-busting session. Your peace of mind starts here.

Picture of Andrew Harris
Andrew Harris

Andrew Harris is the founder of Simple Start Health Insurance with over 8 years of experience in the health insurance industry. He’s passionate about making coverage simple, human, and hassle-free. At Simple Start, Andrew helps families and individuals navigate Open Enrollment with clarity and confidence.

Picture of Andrew Harris
Andrew Harris

Andrew Harris is the founder of Simple Start Health Insurance with over 8 years of experience in the health insurance industry. He’s passionate about making coverage simple, human, and hassle-free. At Simple Start, Andrew helps families and individuals navigate Open Enrollment with clarity and confidence.

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