Frequently asked questions
We’re here to help.
How can I get dental and vision coverage with Medicare?
Original Medicare (Part A and Part B) does not cover routine dental or vision care. However, many Medicare Advantage plans (Part C) offer the coverage along with other benefits not provided by Original Medicare, such as prescription drug coverage. See page 10 for more information about Medicare Advantage plans.
What happens if my doctor leaves my Medicare Advantage plan’s network?
Your plan will notify you if your doctor leaves the plan’s network, and you’ll be able to choose a new doctor. Generally, you aren’t able to change plans in this situation until the next Medicare Annual Enrollment, October 15 to December 7.
What will I pay for prescription drugs if I enter the Part D donut hole?
The Medicare Part D donut hole or coverage gap is the phase of Part D coverage after your initial coverage period. You enter the donut hole when your total drug costs—including what you and your plan have paid for your drugs—reaches a certain limit. Amounts might vary by calendar year.
How do I know if I’ll be able to see my same doctor when I’m on Medicare?
Many doctors accept Medicare. Ask your doctor to be sure. If you’re considering a Medicare Advantage plan (Part C) with a provider network, you’ll also need to know whether your doctor is in it. Check the provider list for each plan you’re researching.
What happens if my doctor leaves my Medicare Advantage plan’s network?
Your plan will notify you if your doctor leaves the plan’s network, and you’ll be able to choose a new doctor.
What happens to my spouse’s health coverage when I retire and go on Medicare?
Your spouse may need to find other coverage if he or she is younger than you and there is a gap between being covered under your employer coverage and becoming eligible for Medicare. Your employer may offer COBRA for your spouse’s continued coverage. Talk with your employer plan administrator.
Your spouse could also buy individual coverage through the Marketplace or directly from an insurance company until becoming eligible for Medicare. At that time your spouse may qualify for premium-free Part A based on your work record or their own.
Your spouse could also buy individual coverage through the Marketplace or directly from an insurance company until becoming eligible for Medicare. At that time your spouse may qualify for premium-free Part A based on your work record or their own.
What happens if I move? Can I keep the same Medicare Advantage plan?
Medicare Advantage plans have geographic service areas where they operate. You can keep your plan if you move to another address within the same service area. Call your plan’s customer service number to find out whether your new home is in your current plan’s service area.
If you move outside your plan’s service area, you’ll need to find a different Medicare Advantage plan or go back to Original Medicare and consider adding a standalone prescription drug plan and Medicare supplement insurance.
If you move outside your plan’s service area, you’ll need to find a different Medicare Advantage plan or go back to Original Medicare and consider adding a standalone prescription drug plan and Medicare supplement insurance.
I can’t afford to pay for Medicare — not even the Part B premium. Where can I get help?
You may be able to get help paying Medicare premiums and other costs, if you qualify. See More information for a list of resources.
