What is one of the the most common misconceptions people have about Medicare?

Answered by 200 licensed agents

One of the most common misconceptions about Medicare is that it covers all healthcare costs for seniors. Turns out, Medicare doesn't cover every single healthcare expense. Additionally, many assume it includes long-term care (like nursing homes) or dental, vision, and hearing services, but these items are not covered under original Medicare. People often learn this the hard way when they realize they need supplemental insurance like Medigap, Medicare Advantage, and other tertiary coverage options to fill those gaps. It’s a rude awakening for those who think Medicare = free healthcare, hence the need to fully understand your options to make the best decision for yourself.

Answered by Taylor Langlois on March 12, 2025

Agent Licensed in KS, CO, MO, NE, OK & TX

Answered by Taylor Langlois Medicare Insurance Agent
They think that Medicare covers everything and they have nothing to worry about. There is nothing further from the truth. This is why you need a agent or a broker to guide you through.

Answered by Kris Neupauer on May 5, 2025

Broker Licensed in MN, ND, SD & WI

Answered by Kris Neupauer Medicare Insurance Agent
Not understanding how to use Medicare and the plans available. When selecting a Medicare plan individuals first cus on the cost. The important question is what are your needs today and in the future. The experience of a Medicare agent is key.

Answered by Gary Church on May 19, 2025

Broker Licensed in Ca, AZ, NV & TX

Answered by Gary Church Medicare Insurance Agent
THAT IS IS FREE AND IT PAYS EVERYTHING, AND THAT ITS AUTOMATIC, IT IS YOUR RESPONSIBILITY TO ENROLL IN MEDICARE A AND B, CALL ME FOR HELP IN ENROLLING IN MEDICARE , WE DO FOR YOU AT NO COST, OUR SERVICES ARE FREE

Answered by Mike Alexander on October 6, 2025

Broker Licensed in TX, AL, AR & 16 other states

Answered by Mike Alexander Medicare Insurance Agent
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Hi, thanks for watching. So the question is, what is one of the most common misconceptions people have about Medicare? Probably the biggest one is that people think that when you get on Medicare, you don't pay for anything. Everything is free. And that's the farthest from the truth. There's only two ways to go with Medicare. You can either go with original Medicare and a Medicare supplement, sometimes called a Medigap plan, or you can go the Medicare Advantage route, which is more of a bundled product and a copay-based system. Meaning, when you go to your doctor, you get services for Medicare, everything is a copay. Go into the hospital, it's a copay. Go to the doctor, typically it's zero copay, but it's copay-based anyway. The second biggest misconception is that Medicare is going to run out of money. I'm not going to have my Medicare. That's just not going to happen. There's like 80 million people on Medicare. There's no way that this is going to go away. The cost might get a little bit higher, but it's not going away. It's just not going to happen. It's too big to fail. Let's put it that way.

Answered by Steve and Sue Brauer on August 27, 2025

Broker Licensed in AZ & CA

Answered by Steve and Sue Brauer Medicare Insurance Agent
That it is free. The T.V. commercials are misleading. Medicare is not free. Zero dollar Advantage Plans are not free and zero dollar drug plans are not free. Anything being touted as free, still has a cost. You must know the difference between a premium, a copay, and coinsurance. There is always a cost to every plan with the exception of a Full Dual Special Needs Plan for which most people do not qualify.

Answered by Mark Bilgere on November 29, 2025

Broker Licensed in TX, AR, IN & LA, MN, NE & OK

Answered by Mark Bilgere Medicare Insurance Agent
That Medicare Advantage is Medicare. Also that Medicare Advantage plans give you coverage everywhere when they are usually only local plans!

Answered by Norman Smith on March 29, 2025

Agent Licensed in FL, AL, NJ & PA

Answered by Norman Smith Medicare Insurance Agent
Not really knowing the difference between supplements and Medicare Advantage plans called Part C. And there is a lot of confusion about which Part D (drug card) to choose with a supplement plan.

Answered by Lt Col Tim Brown on March 25, 2025

Broker Licensed in TN, AL, CO & 10 other states

Answered by Lt Col Tim Brown Medicare Insurance Agent
One of the most common misconceptions people have about Medicare is that it is free. Medicare is not free. There are copays and coinsurance just as with any health insurance plan. Also, there is the Part B premium that everyone must pay in order to enroll in a supplemental health plan, such as Advantage or Medigap. Here to help. Bill Lawler

Answered by William Lawler on October 12, 2025

Broker Licensed in MO, FL, IA & 12 other states

Answered by William Lawler Medicare Insurance Agent
You may think that Medicare Advantage is traditional Medicare, but it is not. In fact, Medicare Advantage is private insurance group coverage that follows the Medicare guidelines. Under Advantage plans, insurance companies have the right to require prior approvals before offering coverage.

Answered by Larry Dalton on March 26, 2025

Broker Licensed in OK & TX

Answered by Larry Dalton Medicare Insurance Agent
Many retirees wrongly assume Medicare will cover all of their retirement-aged healthcare expenses. Expensive portfolio destroyers such as Long Term Care costs has ZERO Medicare coverage. Unfortunately, Medicaid is the main funding program in the USA for Nursing Home Care. The Medicaid spend-down process can wipe out someone's nest egg.

Additionally, Original Medicare currently does not cover hearing aids, glasses, dentures, and most dental care. Current Medicare enrollees can chose a Medicare Supplement which can cover most or all of their outpatient Medicare Part B expenses after a yearly Part B Deductible is met. Medicare Advantage Plans may offer some limited coverage for dental, vision, and hearing aids, but many carry large annual out of pocket costs some retirees are not willing to risk. While other retirees fully embrace their Advantage Plans and keep their plans for year.

Answered by Christopher Boyd on September 3, 2025

Agent Licensed in IN, KY, MI, OH, PA & TN

Answered by Christopher Boyd Medicare Insurance Agent
There are alot of Medicare Misconceptions, the one I face the most is, "I thought Medicare Covers Assisted Living"

Medicare covers Skilled Nursing up to 100 days through Part A. In a shortish term stay. There is state/federal coverage for Assisted Living which is called Medicaid.

Folks often get those to worlds mixed up, Medicare and Medicaid.

Answered by Voss Speros on June 2, 2025

Broker Licensed in AZ, CA, CO & 20 other states

Answered by Voss Speros Medicare Insurance Agent
They mix up Medicare with Social Security. These are separate. Medicare is only health insurance and although most qualify, there is a standard number of hours worked or “credits” that must be achieved to get Medicare.

Answered by Mark Maliwauki on March 4, 2025

Broker Licensed in ID, AZ, CA & 13 other states

Answered by Mark Maliwauki Medicare Insurance Agent
What I encounter the most is that Medicare is free because you payed FICA tax to cover the premium, and it covers everything you need.

Answered by Pamela Masters on November 3, 2025

Broker Licensed in NC

Answered by Pamela Masters Medicare Insurance Agent
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Medicare agents, HUB, you have questions? We have the answers. Hi, I'm Tony Capraro from State Farm, the Capraro Agency on Kelly Street in Manchester. The question today is, what is one of the most common misconceptions people have about Medicare?

Listen, I've been doing this for a couple of decades now. There are a lot of misconceptions about Medicare. There's a lot of misinformation out there. You get blinded by these commercials over and over again about Medicare Advantage, Part C. Do yourself a favor at 64, work with someone like myself. We have a year to plan. They can talk to you, and I can talk to you about Medicare, Medicare supplement, Medicare Advantage, Part D drug plans.

What makes the most sense for you based on your goals and objectives? It's really it. I hear every single day in my state, "Agency so-and-so said this," or "I was told this," and I'm like, "No, that's incorrect." So work with a professional. There's a lot of great ones here at Medicare Agent Hub that would love to help you. And they can give you the great information so you can make a great decision for you and your family. I'd love to help you.

Answered by Tony Capraro III on September 2, 2025

Agent Licensed in NH & ME

Answered by Tony Capraro III Medicare Insurance Agent
They don't realize that many doctors will not accept Medicare because of the low reimbursement rates. Many people don't realize how many options you have when you are enrolled in Medicare.

Answered by Jonathan Potter on August 19, 2025

Broker Licensed in UT, AZ, CA & 14 other states

Answered by Jonathan Potter Medicare Insurance Agent
it is expensive and doesn’t provide quality care . plans are much less expensive than obama care and pre 65 plans

Answered by Ray McCauley on March 27, 2025

Broker Licensed in CA, AZ, FL & ID, NV, SC & TN

Answered by Ray McCauley Medicare Insurance Agent
There are many misconceptions that people have about Medicare. One thing people believe is that they won’t have to pay for healthcare once they are on Medicare.. You pay differently with Medicare supplements than you do for Medicare Advantage plans. Your monthly cost will vary between various Medicare supplement companies, and your co-pays will vary between various Medicare advantage companies. There are also different networks that your plan will have to adhere to.

Another misconception is that people pay to have a broker help them. Clients don’t pay their brokers. Brokers get paid like your auto and Home insurance Agent gets paid. Hopefully, they are appointed with several companies so they can help you choose which plan type and company is best for your needs.

Answered by Christy Jones on October 12, 2025

Broker Licensed in ID, AL, AR & 20 other states

Answered by Christy Jones Medicare Insurance Agent
The most common misconception about Medicare is that you have to drop all of your previous coverage and get onto Medicare right when you turn 65. That’s not always true. If you have work coverage (employer sponsored plan), that is not going to cancel when you turn 65 Then you can do something called “delay part B”. What this does is it makes it so that you don’t have to pay a Medicare part B premium every month towards Medicare, you can continue with your work coverage, and when you decide to drop your work/employer coverage, you can get Medicare part B without incurring a penalty.

Answered by Gregg Matheny on March 25, 2025

Agent Licensed in AZ & UT

Answered by Gregg Matheny Medicare Insurance Agent
One of the most common misconceptions about Medicare is that it covers all healthcare expenses once you enroll.

The reality:

Medicare covers many essential services, but it doesn’t cover everything—for example, most dental, vision, hearing aids, long-term custodial care, and routine care like eye exams or dentures are usually not covered.

Original Medicare also comes with out-of-pocket costs like deductibles, coinsurance, and no annual limit on spending unless you have supplemental coverage.

Prescription drugs aren’t covered under Original Medicare unless you enroll in a separate Part D plan.

Why this matters:

Understanding what Medicare does—and doesn’t—cover helps you plan for additional coverage to avoid unexpected costs.

Would you like help reviewing your coverage options to fill any gaps?

Contact us.

Answered by Steven Graves on July 1, 2025

Agent Licensed in TX

Answered by Steven Graves Medicare Insurance Agent
That it is Complicated; It can be, but it doesn't have to be. A and B is Original Medicare, A is free and B is $206.50 per month. That is through Social security and it is your ticket to do either a.

part C and Part D Medicare advantage plan or a supplement and a Medicare advantage plan.

A supplement Covers the 20% that orignial medicare does not cover but you pay a premium of nearly $300 per month. You also need a separate part D plan for Prescriptions.

A Medicare advantage plan is usually Zero per month but has co pays for each event.

Yes you have choices for each of these, but we just explained the basics in one paragraph.

Having a local medicare expert to Make Medicare Easy is a good choice. Then you decide.

Answered by Vincent Murray on October 8, 2025

Agent Licensed in ME, FL & NH

Answered by Vincent Murray Medicare Insurance Agent
One of the biggest misconceptions is that Medicare is completely free and covers everything. In reality, while Medicare helps a lot, you’ll still have costs like deductibles, copays, and prescription drug expenses — and it doesn’t cover things like most dental or vision. That’s why reviewing your options is so important, so you’re not caught off guard.

Answered by Lauren Fodde on September 24, 2025

Broker Licensed in MO & FL

Answered by Lauren Fodde Medicare Insurance Agent
Medicare is not always auto enrolled; it depends on your position when you turn 65 or qualify for Medicare.

Answered by Michael Denniston on May 11, 2026

Agent Licensed in FL, AL, AR & 11 other states

Answered by Michael Denniston Medicare Insurance Agent
People hear that Medicare advantages are all HMO and need referrals. That is not true. They are also PPO's and the networks are VERY large. You can travel and even go out of country and you do not need referrals!

Answered by Tasha Riggs on March 25, 2025

Broker Licensed in CO, AZ, HI & 10 other states

Answered by Tasha Riggs Medicare Insurance Agent
When I talk to clients, one of the biggest misconceptions I hear is that Medicare covers long-term care or even burial insurance, which it doesn’t. Medicare’s a living benefit only, so I often have to clarify that it’s built for medical needs excluding nursing homes down the road or final expenses.

Answered by Brian Moore on March 26, 2025

Broker Licensed in OH

Answered by Brian Moore Medicare Insurance Agent
One of the biggest misconceptions about Medicare is that its too expensive. The best way to understand the costs associated with Medicare is to sit down with a licensed broker and review all your options.

Answered by Kelsey Hentzen on March 28, 2025

Broker Licensed in KS & MO

Answered by Kelsey Hentzen Medicare Insurance Agent
I would have to say the most common misconception for Medicare is that the open enrollment period at the end of the year applies to Medicare Supplements.

It is very shocking to some that they may not get to choose another carrier "EVER" because of their health issues.

William Gray

Contact me.

Answered by William Gray on May 20, 2026

Broker Licensed in FL, GA, ID & 9 other states

Answered by William Gray Medicare Insurance Agent
One of the most common misconceptions about Medicare is that Medicare covers everything. It usually only covers anything that is medically necessary. Many beneficiaries believe that a Medicare advantage plan is a Medicare supplement

Answered by Richard Moreno on July 5, 2025

Broker Licensed in TX, CA, FL, LA, NM & OH

Answered by Richard Moreno Medicare Insurance Agent
One of the biggest misconceptions people have about Medicare is that it covers everything related to medical needs. Medicare only covers medical, it does not cover dental, vision, or prescriptions. Part A is Hospitalization and Part B is medical outside of the hopsital such as doctor appointments, labs, x-rays, the first 3 units of blood, etc. Contact me if you have further questions.

Answered by Cheri Rogers on May 12, 2026

Broker Licensed in NM & TX

Answered by Cheri Rogers Medicare Insurance Agent
That it is unaffordable and limited coverage.

Answered by Robert Pennington on March 25, 2025

Broker Licensed in NC, GA, SC & VA

Answered by Robert Pennington Medicare Insurance Agent
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What are the most common misconceptions when it comes to Medicare? Great question. I think the biggest is many people believe Medicare is free, and that's not the case. There's a premium for your Part B services, and then there's a deductible for your hospitalizations. There's a deductible for your doctor's appointments and other medical services. And then Medicare generally only covers about 80% of your health care.

Additionally, there is no coverage for dental or vision. There's no coverage for long-term care, and there are some significant gaps when it comes to skilled nursing rehab or home health care. Additionally, many people believe that you're automatically enrolled or that you're required to enroll. Neither are true. If you're already collecting Social Security, you may automatically be enrolled in Medicare. Now, if you're not, you need to proactively enroll yourself.

Now, when it comes to the question, are you required to enroll in Medicare? If you work for an employer that has 20 or more employees on their group health insurance and you have that group health insurance, you are not required to enroll in Medicare. I hope this helps answer some of the bigger misconceptions about Medicare. Until next time, be healthy and be well.

Answered by Andrew Firmin on April 4, 2026

Broker Licensed in MA, CT, DE & 13 other states

Answered by Andrew Firmin Medicare Insurance Agent
The most common misunderstanding is that Medicare pays 100% of your medical costs. While there are many free preventative tests and services available, there are deductibles and Medicare in general, only pays 80% of allowed services, which is why most people choose to have a Medicare Supplement or Medicare Advantage Plan to get additional coverage.

Answered by Esther Miller on June 16, 2025

Agent Licensed in WA

Answered by Esther Miller Medicare Insurance Agent
One of the most common misconceptions about Medicare is that it is going to be provided at no cost to the enrollee. Many people assume that since they've paid into the system for years Medicare will be completely free once they turn 65. Part A is premium-free for most people who worked full time is the USA for at least 10 years but Part B always comes with a monthly premium.

NOTE: Part B premiums MAY be paid for some of those that are considered "Dual Eligible" for both Medicare and Medicaid.

Answered by James Hale on March 19, 2026

Broker Licensed in GA, AL, LA, OH & TX

Answered by James Hale Medicare Insurance Agent
I would say the most common misconceptions about Medicare are the costs involved and when to enroll. There are fines and penalties for late enrollment. Costs may decrease significantly if you qualify for a low income subsidy or Medicaid. Costs increase for high earners.

Answered by Dutch VanHoesen on March 25, 2025

Broker Licensed in FL

Answered by Dutch VanHoesen Medicare Insurance Agent
Most people think Medicare covers nursing homes stays (long-term care). That is not the case. I help educate clients so they are not surprised if this situation ever arises.

Answered by Amy Putrino on March 25, 2025

Agent Licensed in RI, AZ, CT & 12 other states

Answered by Amy Putrino Medicare Insurance Agent
The most common misconception people have about Medicare is that Medicare covers all of their health care needs and that it is free. Unfortunately, Medicare Part B is not free, there is a per month premium that is based in part by your income. There are also gaps in coverage with Original Medicare. Ex. - Part A has a per benefit period deductible, Part B has an annual deductible and uncapped (unlimited) exposure for medical costs. There is also no coverage from Original Medicare for prescriptions that are normally picked up at a pharmacy.

Answered by Mitch Anderson on May 27, 2025

Agent Licensed in MN, IA & WI

Answered by Mitch Anderson Medicare Insurance Agent
One of the common misconceptions people have about Medicare is that once they are on it, that's all they need. Unfortunately, Medicare alone does not provide sufficient coverage and has no maximum out of pocket limit to protect you. A Medicare supplement (medigap) or Medicare Advantage Plan is needed to limit your exposure.

Answered by Mary Turner on June 23, 2025

Broker Licensed in FL

Answered by Mary Turner Medicare Insurance Agent
Many people think that Medicare covers everything and that they will never pay anything out of pocket. When they find out that Original Medicare is only going to cover 80% of the costs, they get surprised and even upset. I often hear people say that they expected it to not cost as they got older. So, financially speaking, people find that monies are stretched a lot more than they realized prior to retirement. We do not do enough preparing people with knowledge to really understand what costs will look like and how best to avoid pitfalls. I make efforts to educate people prior to turning 65. It is my goal to extend as much knowledge as possible, so that people make informed decisions. I do community events at hospitals, restaurants, community centers and invite as many people as we can fit into rooms, so that they know. Afterwards, I walk them through the process and make sure to continue that guidance. A good agent is always, teaching and communicating, so that the client truly benefits.

Answered by Mariela Arana on March 30, 2026

Agent Licensed in CA, AL, AZ & 8 other states

Answered by Mariela Arana Medicare Insurance Agent
Medicare covers everything.”

People are often surprised to learn that Medicare doesn't cover dental, vision, hearing aids, or long-term care. These gaps can lead to major out-of-pocket expenses if not planned for. “Medicare is free.”

Many believe that once they turn 65, Medicare won’t cost anything. While Part A is usually premium-free, Parts B, D, and supplemental plans come with monthly premiums, deductibles, and co-pays.

Answered by Edward Givens on March 25, 2025

Broker Licensed in AZ, CA, CO & 12 other states

Answered by Edward Givens Medicare Insurance Agent
It will cost too much. Doctors may not take Medicare. Medicare will not cover very many expenses.

Answered by Jay Larshus on June 16, 2025

Agent Licensed in TN & VA

Answered by Jay Larshus Medicare Insurance Agent
One of the most common misconceptions that I think people have about Medicare is that it is

"FREE". in reality, Medicare Part A can be free, whereas Medicare Part B does have a $185 monthly amount that they have to pay to social security or it is withdrawn from their check before it comes to them. This can be a higher amount if their income falls into a higher income bracket. There is also Premiums for Medicare Supplement Policies and Drug plans or Copays and Out of Pocket costs related to a Medicare Advantage plan. Sometimes there are ways to help the person pay for those costs if they qualify or if there is a Buy Back plan in their area.

Answered by Renee Brown on March 25, 2025

Broker Licensed in FL, AL, AR & 32 other states

Answered by Renee Brown Medicare Insurance Agent
Two of the most common misconceptions are that it is FREE and it covers EVERYTHING. First: Part A (hospital coverage) *might* not cost anything if you've worked at least 10 years and contributed into Medicare. Part B (services) have a standard minimum cost while Drug plans and bundled MAPD plans (that come with drug coverage) might have a zero cost monthly premium but they're going to have deductibles, copays, and co-insurance. Second: Medicare coverage is great - but it does NOT cover 100%. You're responsible for filling the gaps with something like an MAPD plan or a Medigap plan.

Answered by Susan O'Kelley on January 19, 2026

Broker Licensed in CO, AL, AZ & 20 other states

Answered by Susan O'Kelley Medicare Insurance Agent
That Original Medicare, Part A and Part B, is enough coverage. Remember, Original Medicare Part A is your Hospital Coverage (room and board so-to-speak). Part B is your Medical Coverage (Doctors Visits, lab services, medical treatment, immunizations, ect.).

Original Medicare Part B is only covering 80% of your bill, leaving you responsible for the additional 20%.

You really should have additional coverage to help cover the associated costs, whether that is a Medicare Supplement or a Medicare Advantage plan.

Answered by Samantha Jellison on March 6, 2025

Broker Licensed in NC, FL & SC

Answered by Samantha Jellison Medicare Insurance Agent
One of the most common misconceptions about Medicare is that it’s completely free and covers all healthcare costs. In reality, beneficiaries still pay premiums, deductibles, and copayments, and some services—like dental, vision, or long-term care—aren’t covered under Original Medicare.

Answered by Karen Murray on October 6, 2025

Broker Licensed in VA, CT, MD, MN, NJ & NY

Answered by Karen Murray Medicare Insurance Agent
I think one of the most common misconceptions people have about Medicare is that it pays for everything. When in fact for example part D prescription drug coverage must be purchased through an insurance company.

Answered by Nolan Popel on March 25, 2025

Agent Licensed in NY, AZ, CA & 15 other states

Answered by Nolan Popel Medicare Insurance Agent
That everything is free. Not true. There are many ways to get coverage for what Medicare doesn't cover.

Answered by Michael Ryan on March 25, 2025

Broker Licensed in CA, AZ, CO & 7 other states

Answered by Michael Ryan Medicare Insurance Agent
There are two widespread misconceptions concerning Medicare. The first is that Medicare is free. There are copays and premiums. In addition, you must have worked 40 quarters to be eligible for no premium Part A (Hospital), and you must pay a premium for Part B (Doctor) and Part D (Drugs). The second is that Medicare covers all phases of your Medical needs. Medicare does not pay for vision, hearing, or dental. You must have a separate plan for these or enroll in a Medicare Advantage Plan (Part C).

Answered by Elliott Klepner on November 9, 2025

Broker Licensed in FL

Answered by Elliott Klepner Medicare Insurance Agent
One of the most common misconceptions is that Medicare covers everything- medicare doesn’t cover many common needs, including routine, dental care, vision, hearing aids, long-term care and most prescriptions. Another misconception is people often think Medicare is free, but part B has a monthly premium, and most plans have deductibles, co-pays, and out-of-pocket responsibilities.

Answered by Melissa Foster on November 24, 2025

Broker Licensed in OK, AL, AR & 9 other states

Answered by Melissa Foster Medicare Insurance Agent
Many people think Medicare covers long-term care like nursing homes, but it only pays for short-term skilled care and not ongoing custodial support.

Answered by Bryan Smith on March 10, 2025

Broker Licensed in UT, AL, AR & 35 other states

Answered by Bryan Smith Medicare Insurance Agent
Medicare pays all my cost and I will have no out of pocket costs. How much will medicare cost me? Do I need to enroll in medicare if I have coverage through my employer?

Answered by Vincent Esposito on March 26, 2025

Broker Licensed in NY, FL & NJ

Answered by Vincent Esposito Medicare Insurance Agent
There are many people who believe that Medicare will cover them in a nursing home. For the most part this is not true. Medicare will cover a stay in a skilled nursing facility after a qualifying hospital stay. However, they will not cover long term care in a nursing home. This is generally covered by a long term care insurance plan or out of the persons personal funds, which can be very expensive.

Answered by Patrick Bullock on March 27, 2025

Broker Licensed in PA, DE, FL, NJ & VA

Answered by Patrick Bullock Medicare Insurance Agent
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Hi, today's question is: what are some of the misconceptions that seniors have regarding Medicare? Well, there are many misconceptions that seniors have regarding Medicare. Do I need any other plans besides Medicare A and B? Do I need prescription drug coverage, or will Medicare A and B cover my prescriptions? Will Medicare cover experimental treatment? Will I be covered if I go out of the United States for medical coverage? Will my dental and vision be covered under Medicare? Will my long-term care be covered under Medicare? These are many misconceptions seniors have. I'd love to help you, so please give me a call, and I'd be more than happy to answer your questions and help you find the right plan for you, whether it be a Medicare Advantage plan or a Medicare Supplement plan. Have a great day, thank you!

Answered by Laura Shipman on May 12, 2025

Agent Licensed in KS

Answered by Laura Shipman Medicare Insurance Agent
Well, there’s a lot here. I’m ready to unpack it: Part A, Part B, Part C, and Part D.

This is very confusing, and it’s hard to navigate.

I had somebody talk to me when they met me at a medical office, because I’m a preferred agent in one of the medical groups, and she said, “I made a big mistake.” I helped my neighbor, and I screwed it up so bad that we had to call the insurance company, cancel it, and I had to go with another company.

And because she was in that window—that window—she was very lucky.

Understanding Part A, understanding Part B, understanding Part C, and understanding Part D—it’s not just understanding those parts. It’s all of the information that goes behind that, with asking you the right questions to get to the result.

Very important that these questions are asked.

Hence, that new friend of mine is going to have me help her when it’s time to make that change, because she does not want to do this ever again.

It’s not easy to do by yourself. I’ve been in the industry for a long time, and I know what I’m doing—but it took me a long time as well.

And I feel like I’m a pretty sharp lady.

Answered by Hope Suhr on May 21, 2025

Broker Licensed in CA, AZ, MO & OR, SC, TN & TX

Answered by Hope Suhr Medicare Insurance Agent
A common misconception is that I must sign up for Medicare when I turn 65. This is not true especially since many people are working beyond 65. It may not be in their best interest.

Answered by William Lewkowski on March 25, 2025

Broker Licensed in TN, AL, AR & 30 other states

Answered by William Lewkowski Medicare Insurance Agent
One of the biggest misconceptions is that Medicare covers everything, and that is simply not true. Many people are surprised to learn that Original Medicare doesn't cover routine dental, vision, hearing aids, or long-term care. It also has deductibles, copays, and no cap on out-of-pocket spending unless you add supplemental coverage.

That is why understanding the gaps and knowing your options for filling them is so important. Whether it's a Medigap plan, Medicare Advantage, or standalone policies, there's no one-size-fits-all solution. Getting educated early helps avoid costly surprises down the road.

Answered by Patrick Hecht on May 21, 2025

Broker Licensed in VA, CA, MD, PA & WV

Answered by Patrick Hecht Medicare Insurance Agent
The most common misconception that I run into is that Medicare will pay for everything. While Medicare does provide much-needed medical coverage, many people are shocked to find out that there are some major gaps that can lead to large out of pocket costs.

For example: Medicare doesn't have a max-out-of-pocket limit, meaning there is no dollar amount that you can reach where you will stop paying for medical services. The program also doesn't cover long-term care (i.e. nursing home or custodial care), dental, vision, hearing, or burial costs. Virtually everyone will need one or more of these services at some point and might find out too late that they aren't covered. Working with a competent agent/broker will help you see what gaps you have and how to get the right protection in place.

Answered by Shane Bullock on March 11, 2025

Broker Licensed in UT, AZ, FL & 9 other states

Answered by Shane Bullock Medicare Insurance Agent
One of the most common misconceptions about Medicare is that it’s entirely free once you’re enrolled. Many people assume that because they’ve paid into the system through payroll taxes during their working years, all Medicare services will come at no additional cost. In reality, while Part A (hospital insurance) is typically premium-free for those who’ve worked long enough, it still has deductibles and coinsurance. Part B (medical insurance) requires a monthly premium——and covers only 80% of outpatient costs after a deductible, leaving beneficiaries responsible for the rest. Add in Part D for prescriptions or extra services like dental and vision (which aren’t covered under Original Medicare), and the out-of-pocket expenses can pile up quickly if you’re not prepared. This misunderstanding often leads to sticker shock when the bills start rolling in.

Answered by Phillip Lovelady on March 25, 2025

Agent Licensed in TX

Answered by Phillip Lovelady Medicare Insurance Agent
There are many misconceptions about Medicare. One misconception is that it is free. It isn’t free you must pay your Part B premium.

Answered by Holly Douglas on October 13, 2025

Broker Licensed in TN & KY

Answered by Holly Douglas Medicare Insurance Agent
That it is "one size fits all." So many untruths are spread around without an actual understanding of the Medicare environment, such as "Never get a Medicare Advantage Plan" or "All Supplement/Medigap Plans are expensive." These statements are simply untrue and blanket statements can create a lot of stress and poor choices that can burden down so many without fully understanding the true reality of the situation. In addition, the "Never get a Medicare Advantage Plan" comments are often stated categorically by those that only hold life insurance licenses and not both health and life insurance licenses. Bottom line, they are unable to offer Medicare Advantage plans and therefore are pushing Supplement/Medigap plans. It is definitely a case by case evaluation of what is the appropriate choice when it comes to all of the options out there. This is why we encourage Medicare beneficiaries to only consult with those that are licensed in both health and life insurance. It costs nothing to use a broker's services, so it makes sense to have a good sit-down to understand ALL of your options.

Answered by Shane and Tammy Carpenter on March 23, 2025

Broker Licensed in OK, FL, OH & PA

Answered by Shane and Tammy Carpenter Medicare Insurance Agent
When are the most common misconceptions that I hear is people thinking that Medicare covers everything after age 65. However, there are several things that Medicare does not cover that most people want or need to have a plan for. Those include (but aren’t limited to), long-term care, cosmetic surgery, certain things after an auto accident, etc.

Answered by Adam Simon on March 25, 2025

Broker Licensed in MI, AL, AZ & 13 other states

Answered by Adam Simon Medicare Insurance Agent
One major misconception people have about Medicare is the miss information on social media or the information they received from a friend or neighbor. Most medicare beneficiaries don’t know that all Medicare supplement plans are standardized meaning each carrier offering Plan G is the exact same coverage at different prices.

Also, many beneficiaries do not realize new plans can get introduced into the market yearly.

Answered by Joshua Cooper on March 27, 2025

Broker Licensed in GA, AL, FL & 10 other states

Answered by Joshua Cooper Medicare Insurance Agent
One of the most common misconceptions is that when someone has Medicare, everything is covered at 100%.

Answered by Kevin McIntire on March 25, 2025

Broker Licensed in IN & OH

Answered by Kevin McIntire Medicare Insurance Agent
One of the most common misconceptions people have about Medicare is that Medicare covers all healthcare costs. While it does cover many costs, it is important to understand what costs are covered, and what are not. Another common misconception is that you must enroll in Medicare when you turn 65. This is not true, and individuals can enroll in Medicare past 65 assuming they have a valid election period to do so.

Answered by Frank Souk on March 25, 2025

Agent Licensed in WI, AL, AR & 40 other states

Answered by Frank Souk Medicare Insurance Agent
Many people think Medicare covers 100% of all health care needs. In fact, Medicare covers only 80% and is divided into parts, each covering certain services; it does not automatically include dental, vision, hearing, or long-term care. It often surprises people that they may still have to pay out-of-pocket costs, such as deductibles, copays, and premiums.

This is why it helps to work with a local full-time broker. They can review your options, such as Medicare Advantage and Supplement plans, check your eligibility, and go over your coverage each year. This way, you can be sure you have the right coverage for your health needs and know what costs you are responsible for.

Answered by Tina VanPhung on February 21, 2026

Broker Licensed in OR, AZ, CA & 6 other states

Answered by Tina VanPhung Medicare Insurance Agent
That it's free! Most people qualify for "premium-free" Part A (80% hospital coverage) because they or a spouse paid into Medicare over the years. Still, Part B (80% doctor/physician coverage) has a standard monthly premium paid to Medicare. This premium is deducted from any Social Security benefits you receive, or you'll be billed directly from Medicare. You could qualify for the Part B subsidy if you meet certain income thresholds. Let's schedule a call so you know where you stand. Chad

Answered by Chad Cason on March 12, 2025

Broker Licensed in GA, AL, FL & 13 other states

Answered by Chad Cason Medicare Insurance Agent
One of the most common misconceptions people have about Medicare is not enrolling themselves into a Drug plan. "I'm healthy and don't take a single medication, why would I sign up for one?" As this might be true, one would have a late enrollment penalty placed upon them once they do need a particular medication in the future and consequently have the penalty. I always encourage to enroll into a Part D plan as there are plans available at no monthly premium or even below $10 a month.

Answered by Marc Carr on March 11, 2025

Broker Licensed in OH, IL & MS

Answered by Marc Carr Medicare Insurance Agent
One of the most common misconceptions people have about Medicare is thinking that it covers everything 100%, including things like dental, vision, hearing, and long-term care. The truth is, Original Medicare (Parts A and B) has gaps in coverage, which is why many people need additional plans like a Medicare Advantage or a Supplement to help cover those out-of-pocket costs. It catches a lot of people by surprise if they don’t plan ahead.

Answered by Nathan Curry on March 25, 2025

Broker Licensed in FL, AL, AZ & 21 other states

Answered by Nathan Curry Medicare Insurance Agent
Clients are often surprised to find out that in most cases, Medicare Part B is not free. Sometimes this happens because the charge is withheld from the clients monthly social security retirement benefit check and they didn't know it. In other cases, because modified adjusted gross income was high in a particular year, they find the Part B premium to be very expensive and they weren't expecting this. This is part of the process that a trusted advisor utilizes to help prevent client surprises and remove any misconceptions.

Answered by Mark Slemons on March 5, 2025

Broker Licensed in AZ, AK, AL & 17 other states

Answered by Mark Slemons Medicare Insurance Agent
That Medicare will pay more than it does. People need to know what Part A, B and D does before they decide if they want an Advantage plan or a Supplement.

Answered by Teresa Cole on March 17, 2025

Agent Licensed in WV

Answered by Teresa Cole Medicare Insurance Agent
The biggest misconception is that Medicare has no cost to the recipient and it covers all of your care. I would say the second biggest misconception is that Medicare covers Long term care stays in a nursing home.

Answered by Tonya Bell on March 25, 2025

Broker Licensed in SC, AZ, CT & 16 other states

Answered by Tonya Bell Medicare Insurance Agent
I think the most common misconception about Medicare is that it is FREE and it will cover everything Medical. So I guess that's two but they kind of go hand and hand. Medicare is not free and it does not cover 100% of the bills.

Answered by Travis Lane on March 6, 2025

Broker Licensed in VA

Answered by Travis Lane Medicare Insurance Agent
That Medicare covers all of their healthcare costs. Secondary coverage is a must! Having original Medicare only leaves too big of a gap in grand scheme of things. The secondary coverage will help protect people from unforeseen healthcare events.

Answered by David Rubinstein on March 6, 2025

Broker Licensed in NC, FL, MD & 7 other states

Answered by David Rubinstein Medicare Insurance Agent
It's free, and they have to sign up at 65 regardless. Medicare Part A has a $0 premium for most people, but Medicare Part B's premium is based on your household income from two years ago.

If you are covered by your employer's health plan, you may be able to delay Medicare if you want. This is where a professional can really help.

Answered by Caitlyn Hartmann on March 6, 2025

Broker Licensed in MO, AK, AL & 48 other states

Answered by Caitlyn Hartmann Medicare Insurance Agent
Lesser insurance - that is the most common misconception about Medicare insurance. The truth is anything but lesser insurance. Medicare is comprehensive health insurance with a national network of participating providers and hospital systems.

Answered by Judi Field on March 25, 2025

Agent Licensed in PA, AL, AR & 39 other states

Answered by Judi Field Medicare Insurance Agent
One of the biggest misconception's I hear all the time is, if you want to take Medicare you have to take your social security benefits. Although both are administered by the Social Security Administration, these are two separate programs. This isn't a two way road however, if you want to take social security benefits and NOT Medicare, be aware you will automatically be signed up for Part A and B once turning 65. The only one you can opt out of will be B at that time.

Answered by Russell Haas, RSSA on November 23, 2025

Broker Licensed in CT & NY

Answered by Russell Haas, RSSA Medicare Insurance Agent
People who know virtually nothing about Medicare's benefits presume that a specific health issue is NOT covered! Why is that? That is the farthest from the truth! In actuality, there are over 60,000+ procedures and treatments that ARE definitely covered. You need to ask an experienced agent or go to Medicare's website and put a question in the search box. You would be surprised to have really found an answer.

Answered by Steven Bleicher on May 25, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent
That Original Medicare covers them overseas or out of this Country. Some people don't realize they might have to pay 20% coinsurance for claims under Original Medicare.

Answered by Andrew Zurbuch, MBA on April 15, 2026

Broker Licensed in IN, FL, KY, MO, OH & TN

Answered by Andrew Zurbuch, MBA Medicare Insurance Agent
That is covers everything which it does not. Medicare A & B covers 80% and no cap for possible liability. Also doesn’t cover things such as dental, vision or hearing or prescription drugs. You need to either purchase a Supplement or Advantage plan to cover those things.

Answered by Steve Houchens on April 2, 2025

Agent Licensed in KY & TN

Answered by Steve Houchens Medicare Insurance Agent
One of the biggest misconceptions that people have about Medicare is that covers everything including non Medicare services such dental, vision and hearing aids.

Answered by Timothy Brown on May 31, 2025

Broker Licensed in PA, CT, DE & 15 other states

Answered by Timothy Brown Medicare Insurance Agent
That Original Medicare is enough. A lot of people have Original Medicare and they think that is enough. On Original Medicare the USA government pays 80% and you pay 20% of the out of pocket costs. But there is no Max out of pocket costs on Original Medicare. So you do not have a cap on that 20%. So 20% of 1 million dollars worth of costs can add up quick .

Answered by Kristen Skinner on October 7, 2025

Broker Licensed in OK

Answered by Kristen Skinner Medicare Insurance Agent
One misconception is that Medicare covers all the medical costs. But Medicare is a cost sharing program where the enrollees participates in the charges.

Another is that both parts have no premium. Part b has a monthly premium.

Answered by Ron Cronwell on November 27, 2025

Agent Licensed in TN

Answered by Ron Cronwell Medicare Insurance Agent
That they feel that Medicare is tied to Social Security and that they cannot enroll in just Medicare. They feel that if you have Medicare then you have to collect Social Security also.

Answered by Michael Pyers on March 26, 2025

Broker Licensed in OH & MI

Answered by Michael Pyers Medicare Insurance Agent
I don’t think there is one significant common misconception about Medicare. The only one that comes close would be some people feel Medicare gonna cover everything and they don’t realize it is either a Medicare supplement or a Medicare Advantage Plan to go with it.

Answered by Walt Smith on January 26, 2026

Agent Licensed in NJ, NY, PA & VA

Answered by Walt Smith Medicare Insurance Agent
The most common misconceptions people have about Medicare is that everyone can get it. You must meet the requirements in order to enroll in Medicare.

Answered by Yasmery Vargas on June 25, 2025

Agent Licensed in PA

Answered by Yasmery Vargas Medicare Insurance Agent
I would say one of the most common misconceptions people have about Medicare is they won’t have to pay any more money to have Part B and there is a cost to have a broker to assist them with their medical plan options.

Answered by Vernon Jones on August 13, 2025

Broker Licensed in NC & SC

Answered by Vernon Jones Medicare Insurance Agent
The biggest and most common misconceptions about Original Medicare is that it is free medical care for those that turn 65.

Medicare is also available to those on Disability (2 years) under age 65.

Original Medicare does NOT cover Routine Dental, Vision, Hearing Aid/Exams (these benefits are available in Medicare Advantage plans). There may be standalone plans to add on to cover these services (Premiums/Co-pays/Co-Insurance can apply).

NO coverage for Cosmetic surgery.

Medicare does NOT cover Medicare expenses when traveling out of the country. (limited emergency care coverage). *Contact me for World-wide Travel coverage quotes.

Answered by Leslie Helene Sussman on March 31, 2025

Broker Licensed in NJ, FL & PA

Answered by Leslie Helene Sussman Medicare Insurance Agent
It is a downgrade from the commercial insurance I've had over the years. And... nothing could be further from the truth! Most people are thrilled with their Medicare coverage.

Answered by Thomas Magnus, RHU on June 21, 2025

Broker Licensed in CA, AZ, NV, OR & WA

Answered by Thomas Magnus, RHU Medicare Insurance Agent
One of the most common misconceptions about Medicare is that it covers all healthcare costs. In reality, Medicare doesn’t cover services like most dental, vision, hearing, or long-term care. You still have to pay deductibles, copays, and monthly premiums. Many people are surprised to learn they may need extra coverage to avoid big out-of-pocket costs.

Answered by Mary Salmon on June 26, 2025

Broker Licensed in TX & OK

Answered by Mary Salmon Medicare Insurance Agent
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One of the most common misconceptions that people have about Medicare is that everybody is concerned about late enrollment penalties. If you're worried about late enrollment penalties, please call me and we can talk it through. Most of the time, late enrollment penalties do not apply, so just give me a call. But everybody's always concerned about penalties. If you have a question, give me a call about those late enrollment penalties, and 95% of the time I will put those fears to rest.

Answered by David Silver on May 8, 2025

Broker Licensed in FL, NJ & NV

Answered by David Silver Medicare Insurance Agent
One of the most common misconceptions people have about Medicare is that it covers everything—but it doesn’t. Original Medicare (Parts A and B) leaves you responsible for deductibles, 20% coinsurance, and—most importantly—there is no annual out-of-pocket maximum. That means if you face a major illness or need ongoing care, your costs can add up quickly. To protect yourself financially, it’s important to enroll in either a Medicare Supplement (Medigap) plan or a Medicare Advantage (Part C) plan, unless you have qualifying employer coverage. These options help limit your out-of-pocket expenses and provide extra benefits that Original Medicare doesn’t include.

Answered by Anna Davis CIC-RSSA on August 6, 2025

Broker Licensed in CA

Answered by Anna Davis CIC-RSSA Medicare Insurance Agent
That everyone who turns 65 is entitled to Medicare coverage, you would have had 40 quarts of work history or Appling from you husband or wife's work history.

Answered by Geney Ruesga on March 9, 2026

Broker Licensed in MS, AL, AZ & 7 other states

Answered by Geney Ruesga Medicare Insurance Agent
That it pays for everything. Most people don't realize Part B has no limit on the 20% coinsurance. That adds up very quickly.

Answered by David Ryerson on March 16, 2026

Agent Licensed in AR, KS, MO & OK

Answered by David Ryerson Medicare Insurance Agent
Most people confuse the open enrollment period for the Medicare Advantage plan, Part D Plan, and Medicare Supplement plan.

Answered by Satoshi Aoki on March 25, 2025

Agent Licensed in CA

Answered by Satoshi Aoki Medicare Insurance Agent
Most common misconception about Medicare - they cover everything! Know your A, B, C, and Ds of Medicare.

Answered by Alan "AL" Minthorn on March 25, 2025

Broker Licensed in ME, FL, NC & NH

Answered by Alan "AL" Minthorn Medicare Insurance Agent
I would say the most common misconception about Medicare is that it works the same as other health insurance plans. Medicare is unique and there are many differences between Medicare and the health insurance people are used to having.

Answered by Christopher Garcia on March 25, 2025

Broker Licensed in NM, AZ, CO & TX

Answered by Christopher Garcia Medicare Insurance Agent
One of the most common misconceptions people have about Medicare is believing that it covers all healthcare costs in full — just like traditional employer insurance. In reality, Medicare only covers about 80% of approved medical expenses under Part B, leaving beneficiaries responsible for the remaining 20% plus deductibles, copays, and services not included (like dental, vision, and hearing).

That’s why it’s so important to explore additional coverage options, such as a Medigap (Supplement) plan or a Medicare Advantage plan, to help fill those gaps and manage out-of-pocket costs.

Many people are surprised to learn this after they’ve already retired, so having the right guidance before enrolling makes a big difference in both coverage and peace of mind

Answered by Leslie Santos on October 17, 2025

Broker Licensed in FL & TX

Answered by Leslie Santos Medicare Insurance Agent
I believe one of the most common misconceptions people have about Medicare is that it will cover all of their medical costs. There are deductibles and possible co-pays or not-covered costs associated with Medicare coverage. That is why it is so important to have an agent such as myself to explain the coverage and cost, and also have someone to reach out to throughout the year if any questions arise. Melanie Rogers, contact me.

Answered by Melanie Rogers on April 16, 2026

Agent Licensed in FL, GA, OH & TX

Answered by Melanie Rogers Medicare Insurance Agent
A huge misconception is having to enroll in Medicare Part A & B when you are first eligible at age 65. Certainly does apply to some individuals but many people think they MUST do something even if they are still working and for an employer with more than 20 employees. Fear of a penalty is huge.

Answered by Nancy Courser on March 25, 2025

Agent Licensed in MI, FL & TN

Answered by Nancy Courser Medicare Insurance Agent
People ofton think Medicare is free, they do not realize we all have to pay a premium for Part B which went up this year to $205 a month plus it you buy a supplement to medicare for the portion medicare does not pay then that is a premium as well.

Also all doctors to not take medicare or do all specialty hospitals.

Answered by Armand Smith on November 17, 2025

Broker Licensed in AZ, CA, CO & 8 other states

Answered by Armand Smith Medicare Insurance Agent
When I first meet with a Medicare prospect turning 65 and first becoming eligible they are under the assumption that their medical bills will be completely covered by Medicare. They sometimes go into sticker shock when I inform them that they will pay for Part B Medicare at a cost over $200 a month and are responsible for the deductibles of over $1700 for Part A and more than $280 for Part B. Then they will pay for 20% of all their medical costs from there. That's when I let them know they have options to lower their costs.

Answered by Lou Spatafore on March 2, 2026

Broker Licensed in WV, FL, GA & 10 other states

Answered by Lou Spatafore Medicare Insurance Agent

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