Medicare

Confident Medicare decisions start with understanding your coverage.

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Who is eligible for the Medicare program?

What is Medicare?

Medicare is the federal health insurance program in the United States that provides coverage for people over 65 and some younger people with disabilities and specific illnesses.

People aged 65 years and over

Anyone who is at least 65 years of age and is a U.S. citizen or permanent resident who has lived in the United States for at least 5 consecutive years.

People under age 65 with certain disabilities

People of any age with end-stage renal disease (ESRD)

Who are paid Social Security disability benefits.

With chronic renal failure requiring dialysis or kidney transplantation.

Medicare basics

Navigating Medicare can be confusing, but we're here to help you understand your choices.

Medicare Advantage (Part С)

Most plans offer extra benefits Original Medicare doesn’t cover–like vision, hearing, dental, and more

Original Medicare

Original Medicare typically covers around 80% of your medical expenses, so having a plan to cover the remaining 20% is very important. Additionally, Medicare generally doesn't cover dental, vision, hearing and other benefits.

Part A (Hospital)

Part B (Medical)

You can add:

Medicare Supplement (Medigap)

Part D (Prescription Drug Plan)

Part A (Hospital)

Part B (Medical)

Most plans include:

Part D (Prescription Drug Plan)

Additional benefits

Some plans also offer:

Special Needs plans for people with chronic conditions or low income

More about Medical plans

Medicare Advantage Plans

Part A

Hospital Insurance

It primarily covers inpatient care, which means medically necessary services you receive in a hospital setting. Here's a breakdown of what Part A typically covers:

Inpatient care in hospitals

Short-term care in rehabilitation centers after hospitalization

Doctor visits

Hospice care

Limited home health care

Part B

Part D

Medical Insurance

Medicare drug plan

Outpatient surgery

Medical equipment

Preventive services

It covers outpatient services, preventive care, and some medical supplies. Here's a breakdown of what Part B typically covers:

Covers the cost of prescription drugs. Plans may vary by the list of covered drugs (formulary), premium costs, and coverage rules.

Most common plans Medicare Advantage (Part C)

Health Maintenance Organization

HMO

With HMO plans, patients must see doctors and hospitals in the plan's network and sometimes get a referral from a general practitioner for specialists. These plans usually cover prescription drugs.

PPO plans may offer more flexible choices of doctors and hospitals, including out-of-network providers, often at an additional cost. These plans usually cover prescription drugs and do not always require a referral from a general practitioner.

These plans are available for people with chronic conditions, or low income seniors eligible for both Medicare and Medicaid.

Preferred Provider Organization

Special Needs Plans

SNP

PPO

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Health Education Services

Expert guidance for your health needs in Kirkland, Washington with over a decade of experience.

Personalized Health Plans

Tailored health plans designed to meet your individual needs and promote overall well-being effectively.

A healthcare professional wearing blue gloves and a dark blue shirt is checking the blood pressure of an elderly woman using a stethoscope and a blood pressure monitor. The woman is seated on a porch, dressed in traditional attire with a red blouse and green skirt. There are wooden pillars and a rustic background of a lightly white-washed wall with brown patches behind them.

A healthcare professional wearing blue gloves and a dark blue shirt is checking the blood pressure of an elderly woman using a stethoscope and a blood pressure monitor. The woman is seated on a porch, dressed in traditional attire with a red blouse and green skirt. There are wooden pillars and a rustic background of a lightly white-washed wall with brown patches behind them.

Workshops and Seminars

Engaging workshops and seminars to educate communities on essential health topics and promote healthy lifestyles.

A healthcare worker, wearing a light blue surgical gown, a white mask, and a white cap with red polka dots, adjusts her headwear in a hospital setting. The background features a wall clock and a white and gray interior.

A healthcare worker, wearing a light blue surgical gown, a white mask, and a white cap with red polka dots, adjusts her headwear in a hospital setting. The background features a wall clock and a white and gray interior.

MEDKUPON is committed to helping people understand Medicare basics, benefits, and coverag

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We are not working for a specific insurance company. Our goal is to help you choose the plan that is right for you

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Health Education

Providing expert guidance for better health outcomes in Kirkland.

A group of people are gathered in a clinical or educational setting. Several individuals are seated, wearing masks and professional attire, including white coats. One person is standing in the foreground operating a camera mounted on a tripod, also wearing a mask.

A group of people are gathered in a clinical or educational setting. Several individuals are seated, wearing masks and professional attire, including white coats. One person is standing in the foreground operating a camera mounted on a tripod, also wearing a mask.

Wellness Workshops

Engaging sessions to promote healthy lifestyle choices effectively.

A man is receiving a medical check-up or test from a female healthcare professional who is sitting at a table outside. The man is smiling and wearing a yellow t-shirt, while the professional is dressed in a white coat. There are several people standing around, likely part of an event or fair. Medical supplies and informational materials are scattered on the table.

A man is receiving a medical check-up or test from a female healthcare professional who is sitting at a table outside. The man is smiling and wearing a yellow t-shirt, while the professional is dressed in a white coat. There are several people standing around, likely part of an event or fair. Medical supplies and informational materials are scattered on the table.

A dental professional wearing a face mask examines a product brochure. The background contains various dental care products including mouthwash and toothpaste packaging placed on a counter. The setting appears to be a dental clinic with a dental chair visible.

A dental professional wearing a face mask examines a product brochure. The background contains various dental care products including mouthwash and toothpaste packaging placed on a counter. The setting appears to be a dental clinic with a dental chair visible.

A smiling person in a white lab coat stands confidently against a solid red background, with hands on their hips. A stethoscope hangs around the neck, suggesting a medical professional.

A smiling person in a white lab coat stands confidently against a solid red background, with hands on their hips. A stethoscope hangs around the neck, suggesting a medical professional.

Nutrition Counseling

Personalized plans to enhance your dietary habits and health.

How to choose the right Medicare plan

Assess your medical and financial needs

Think about the frequency of doctor visits, the medications you need, and what kind of budget you can afford.

Consider the availability of doctors and hospitals

Compare plans in your area

Explore the differences between Medicare plans

Check to see if your preferred doctors and hospitals are in your chosen Medicare plan.

Medicare plans can vary greatly from state to state. This variation applies to both the availability of plans and their terms and conditions.

Check to see what medical services and drugs are covered by each plan. Also, compare their costs.

Decide on additional coverage

Decide if you need additional benefits such as dental, vision or hearing.

We can help you understand how reviews and ratings relate to your personal needs.

Check out the reviews and ratings

Or just give us a call

Our team of independent experts can help compare your options, answer any questions, and enroll you in the best plan, based on your individual needs.

We are here to simplify the selection process by providing you with all the information you need.

800-209-9950

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