Sign in to medicare — Colorado Springs, CO

Medicare isn't entirely free for everyone after 65. While Medicare Part A is often premium-free if you or your spouse have paid Medicare taxes for a sufficient period, Medicare Part B (for medical services) typically has a monthly premium. This premium can also be higher for those with higher incomes.

Medicare is the federal health insurance program designed for individuals 65 and older, as well as younger people with certain disabilities or End-Stage Renal Disease. It helps cover costs for hospital stays (Part A), doctor visits and outpatient care (Part B), and prescription drugs (Part D). Medicare Advantage plans (Part C) are another option.

Medicare typically doesn't cover long-term care services, most dental care, routine eye exams for eyeglasses, cosmetic surgery, hearing aids, or certain alternative therapies like acupuncture. These are common services that may require separate insurance or out-of-pocket payment.

To be eligible for Medicare, you generally need to be a U.S. citizen or a lawful permanent resident for at least five continuous years. You must also be 65 or older, or under 65 with a qualifying disability, or have End-Stage Renal Disease (ESRD). These are the fundamental eligibility criteria.

Your monthly Medicare costs depend on which parts of Medicare you choose. Part A is often premium-free. Part B has a standard monthly premium, adjusted for income. Prescription drug plans (Part D) and Medicare Advantage plans (Part C) have their own separate monthly premiums and potential out-of-pocket costs.

This amount is subject to change annually. Your actual Part B premium could be higher if your income is above a certain level, and Part D and Advantage plans have separate costs.