Biggest Medicare Myths

There are a lot of myths out there regarding Medicare and especially how the Affordable Care Act (ACA or “ObamaCare”) affects seniors. Determining what’s fact or fiction can be confusing, especially if you’re getting information from various sources. In order to shed some light onto the topic, here are the Top 5 Medicare myths that prove you have nothing to fret about.

Myth #1 I won’t be able to keep my doctors because of the ACA.

False. While some plans may cut doctors from their provider networks from time to time, nothing in the Affordable Care Act (ACA) changes which doctors you can see. Go ahead and see your doctor. In fact, if you’re due for a wellness visit, go ahead and make an appointment now. Under the ACA, annual wellness visits and preventive care are covered by Medicare at 100%, meaning they’re free to you.

Myth #2 The ACA is putting an end to Medicare.

False. Medicare is not ending and the ACA is not replacing Medicare. In fact, many parts of the new law strengthen Medicare, improve its quality, help lower costs, and ensure Medicare will be there for you for years to come.

Myth #3 I could be fined if I don’t enroll on the health insurance exchange.

False. Medicare is not even offered on the exchange. In other words, if you are on Original Medicare, you do not need to purchase more health insurance. If you desire to have more benefits than Original Medicare, you always have the option to purchase or enroll in additional Medicare coverage from  Medicare Advantage plan or a Medicare supplement.

Myth #4 Medicare automatically covers my medications.

False. In general, Medicare Part D (prescription drug coverage) is a voluntary prescription benefit, and you are not  automatically enrolled in it like Medicare Part A. Further, if you do not enroll in a plan with Part D benefits during your initial enrollment period, you may have to pay a penalty if you decide you need drug coverage and enroll at a later date. Part D coverage is provided through private companies that contract with and are approved by the federal government either through a Medicare Advantage plan or a standalone Prescription Drug Plan. Most Medicare Advantage plans include Medicare Parts A & B and offer Part D coverage.

Now that we’ve busted some of the common Medicare myths, you can learn more about the Medicare benefits you may be eligible for by visiting!