SeniorData.org

Medicare Planning Guide

Medicare covers 65 million Americans — but navigating Parts A, B, C, and D can be overwhelming. This guide breaks down what you need to know, with data on what seniors actually use and spend.

Medicare at a glance

Medicare is federal health insurance for people 65 and older, certain younger people with disabilities, and people with End-Stage Renal Disease. There are four parts:

Medicare Enrollees
65M
Medicare Advantage
51%
of enrollees choose MA
Avg Part B Premium
$175
per month (2026)
Avg Part D Premium
$35
per month

When to enroll

Initial Enrollment Period: 7-month window starting 3 months before your 65th birthday month. General Enrollment: January 1–March 31 each year if you missed your initial window. Open Enrollment: October 15–December 7 each year for changing plans.

Medigap (Medicare Supplement)

Medigap policies help pay out-of-pocket costs not covered by Original Medicare (Parts A and B), like copayments, coinsurance, and deductibles. You need both Parts A and B to qualify, and Medigap does not cover prescription drugs (you need Part D for that).

Key fact: The best time to buy a Medigap policy is during your 6-month Medigap Open Enrollment Period, which starts the month you turn 65 and enroll in Part B. During this period, you can buy any Medigap policy sold in your state, regardless of health status.

Baseline health labs for Medicare planning

Order CBC, CMP, A1C, and thyroid panels online — no specialist referral needed. Get your baseline before choosing a Medicare plan.

Order lab tests