Medicare FAQ & Resources for Utah Residents | Free Guide

Question 1

What is Medicare?

Accepted Answer

Medicare is the federal health insurance program for people age 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease. Part A covers hospital care, Part B covers outpatient services, Part C (Medicare Advantage) is an all-in-one alternative offered by private insurers, and Part D covers prescription drugs.

Question 2

When can I enroll in Medicare?

Accepted Answer

Your Initial Enrollment Period (IEP) is a 7-month window beginning 3 months before the month you turn 65, including your birthday month, and ending 3 months after. Missing this window may result in late enrollment penalties. Special Enrollment Periods exist if you have qualifying employer coverage.

Question 3

What is the difference between Medicare Advantage and Medicare Supplement?

Accepted Answer

Medicare Advantage (Part C) replaces Original Medicare with an all-in-one plan from a private insurer, often including drug coverage and extra benefits, but uses provider networks. Medicare Supplement (Medigap) works alongside Original Medicare to cover out-of-pocket costs like deductibles and coinsurance, giving you more provider flexibility.

Question 4

What is IRMAA?

Accepted Answer

IRMAA (Income-Related Monthly Adjustment Amount) is a surcharge added to your Medicare Part B and Part D premiums if your income exceeds certain thresholds. It is based on your tax return from two years prior. Higher-income beneficiaries pay more than the standard premium.

Question 5

What is the Medicare Part D late enrollment penalty?

Accepted Answer

If you go without creditable prescription drug coverage for 63 or more consecutive days after your Initial Enrollment Period, you may owe a Part D late enrollment penalty. The penalty is added to your monthly Part D premium for as long as you have Medicare drug coverage.

Medicare Resources & FAQ

What to Do When You Turn 65

Frequently Asked Questions

Medicare Basics

Medicare Advantage vs. Medicare Supplement

Part D Prescription Drug Plans

Dual Eligible & Extra Help

Working with an Independent Broker

Part D Penalty — Common Questions

IRMAA — Income-Related Medicare Surcharges

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