3 months before you turn 65

  • Create a my Social Security account and check your Medicare eligibility
  • Enroll in Medicare Part A & B at SSA.gov/medicare (unless you have creditable employer coverage)
  • Decide whether to take Part B now or delay it (only safe with qualifying employer coverage)
  • Gather your list of doctors and prescription medications

Choose your path

  • Compare Medicare Advantage (low premium, network, yearly cap) vs. Original Medicare + Medigap + Part D (higher premium, any doctor, predictable)
  • If you want Medigap, apply during your 6-month Medigap Open Enrollment — no health questions
  • Check that YOUR doctors and YOUR drugs are covered by the specific plan
  • Consider travel: snowbirds usually do better with Medigap (no networks)

2026 numbers to budget

  • Part B premium: $202.90/month (more for high earners)
  • Part B deductible: $283/year
  • Part D out-of-pocket cap: $2,100/year (can be paid monthly)
  • Medicare Advantage in-network out-of-pocket max: up to $9,250
  • Medigap Plan G at 65: ~$125–$205/mo in Texas, ~$230+/mo in Florida

Don't miss these deadlines

  • Initial Enrollment Period: the 7 months around your 65th birthday
  • Annual Enrollment Period: October 15 – December 7 (changes start Jan 1)
  • Medicare Advantage Open Enrollment: January 1 – March 31
  • Missing your window without other coverage = lifelong Part B + Part D late penalties

Ask before you enroll

  • Are my doctors and hospital in this plan’s network?
  • Are all my medications on the formulary, and at what tier?
  • What’s my realistic total annual cost — premium + copays?
  • What dental, vision, hearing, and OTC benefits are included?

Avoid these common mistakes

  • Auto-renewing without comparing — plans change every year
  • Picking a $0-premium plan without checking the drug formulary
  • Missing your enrollment window and owing lifelong penalties
  • Going it alone — an independent agent compares every option at no cost
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