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Making Medicare Decisions

This information will help you decide what Medicare coverage suits your health care needs best.

Key Points in Making Your Decision

There are many choices for health coverage in the Medicare system. You are eligible for Medicare Part A (hospital care) and Part B (doctor visits) when you turn 65. But you can opt out of Part B if you don't want to keep it. Consider the following when making your decision:

If you are covered by other health insurance now (from your employer or spouse's), there is no penalty if you defer Part B (doctor visits) until you or your spouse retires.
If you are not covered by other insurance, and you do not keep Part B, you will pay more if you enroll later on.
If you do keep Part B, you can buy extra insurance to cover health care costs that the traditional Medicare plan does not cover. Or you can choose a Medicare Advantage (formerly called Medicare + Choice) plan.

Medicare Information to Consider

Your choices for Medicare coverage are:

Keep your employer's health plan if you are still working, or
Get Part A to cover only hospital costs, or.
Enroll in the original Medicare plan (Parts A and B, covering hospital and doctor visits), or
Enroll in Medicare Advantage, which are privately run health plans sponsored by Medicare.
In addition, you should consider whether you want to join the Medicare prescription drug plan (also called Medicare Part D.) It will help pay for some of your drug costs. You might also consider a Medigap plan, which will fill in some of the gaps in Medicare coverage.
For more information, see What Does Medicare Cover?

Reasons to Buy Extra Insurance	Reasons Not to Buy Extra Insurance
You may want to consider buying extra insurance if: Your medical needs go beyond what Medicare Parts A, B, and D cover. You expect your health care needs to increase in the future. Your out-of-pocket expenses under traditional Medicare would be too high.	Extra insurance may not be right for you if: You don't need much health care. You can easily afford to pay any out-of-pocket expenses. You absolutely cannot afford to buy extra Medigap insurance.

Reasons to Buy Extra Insurance

Reasons Not to Buy Extra Insurance

You may want to consider buying extra insurance if:

Your medical needs go beyond what Medicare Parts A, B, and D cover.
You expect your health care needs to increase in the future.
Your out-of-pocket expenses under traditional Medicare would be too high.

Extra insurance may not be right for you if:

You don't need much health care.
You can easily afford to pay any out-of-pocket expenses.
You absolutely cannot afford to buy extra Medigap insurance.

Making Your Medicare Decision

Print out and use this worksheet to help you make your decision. After completing it, compare it to the criteria above. This should give you a better idea of what kind of Medicare plan suits you best.

Circle the answers that apply to you.

I am working and covered by my employer's health plan.	Yes	No	N/A*
My spouse works and I am covered by his/her health plan.	Yes	No	N/A
The health coverage I have now will end soon.	Yes	No	Unsure
I have high prescription drug costs.	Yes	No	Unsure
I am in the hospital often.	Yes	No	N/A
I need to see doctors often.	Yes	No	N/A
I worry that my health will decline in the near future.	Yes	No	Unsure
I can afford to pay for anything not covered by Medicare Parts A and B.	Yes	No	Unsure
I already have high out-of-pocket expenses.	Yes	No	N/A

*N/A = not applicable

Use this space to list other important concerns you have about this decision.

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