Question 1

What is the difference between Medicare and Medicaid?

Accepted Answer

Medicare is federal health insurance for people 65 and older (and some younger people with disabilities), regardless of income. Medicaid is a joint federal-state program that covers low-income individuals and families, including long-term nursing home care for seniors who qualify. Both programs can work together, but they serve different purposes.

Question 2

When should my parent sign up for Medicare?

Accepted Answer

Your parent should sign up for Medicare Part A (hospital) and Part B (medical) during the 7-month Initial Enrollment Period starting 3 months before their 65th birthday. Missing this window can result in lifetime premium penalties. If they are still covered by an employer's group plan, different rules apply — a Medicare advisor can help you determine the right time.

Question 3

Are Medicare Advantage plans better than Original Medicare?

Accepted Answer

It depends on your parent's health needs and preferences. Medicare Advantage plans often have lower premiums and include extras like dental and vision, but require using in-network providers and may have higher out-of-pocket costs for serious illnesses. Original Medicare offers broader provider access and works well with a Medigap supplement plan. A licensed Medicare advisor can compare options side by side at no cost.

Question 4

What does Medicare not cover that typically surprises families?

Accepted Answer

Medicare does not cover: long-term custodial care (nursing home or in-home aide services for daily activities), routine dental, vision, and hearing, and most prescription drugs without a Part D plan. These gaps are why many families exhaust their savings — proper Medigap or Medicare Advantage coverage and Medicaid planning are essential.

Question 5

What veterans' benefits might my parent qualify for?

Accepted Answer

Veterans and their surviving spouses may qualify for significant benefits, including the VA Aid & Attendance pension (which can pay $1,200–$2,700/month toward care costs), VA healthcare, and VA-paid long-term care in certain situations. Eligibility depends on service, income, and assets. A Veterans Benefits counselor can evaluate what your parent qualifies for at no charge.

Medicare & Benefits in the Northwest Chicago Suburbs