Still confused by Medicare? Let’s clear up 10 common myths seniors should know
By
Veronica E.
- Replies 2
Signing up for Medicare should bring peace of mind—but for many, it brings more questions than answers.
With so many opinions, outdated advice, and fine print floating around, it’s easy to misunderstand what Medicare covers, what it costs, and how to make the most of it.
At The GrayVine, we’re here to break it down simply.
No jargon, no pressure—just straightforward information to help you make informed decisions.
Here are 10 Medicare myths we hear all the time—and the facts that can help you avoid costly surprises.

1. “Medicare is free for everyone.”
Not quite.
While Medicare Part A (hospital coverage) is free for most people who’ve worked and paid Medicare taxes for at least 10 years, you still pay premiums for Part B (doctor visits and outpatient care) and usually for Part D (prescription drugs).
Copays, deductibles, and coinsurance may also apply.
2. “Medicare covers everything.”
Original Medicare (Parts A and B) does not cover dental, vision, hearing aids, or long-term care.
You’ll need to enroll in a separate plan—like Medicare Advantage or a Medigap policy—to fill those gaps.
Also read: Are insurers profiting from your Medicare plan? New Trump DOJ lawsuit targets major insurance players
3. “You’re automatically enrolled when you turn 65.”
You’ll need to sign up for Medicare, typically starting about three months before you turn 65.
Missing this window can result in late penalties.
4. “My spouse’s Medicare covers me too.”
Medicare is individual coverage.
Even if your spouse is already enrolled, you’ll need to sign up and choose your own plan when you qualify.
5. “Medicare doesn’t work outside the US”
Generally true—but some Medigap plans offer limited emergency coverage overseas.
If you travel often, consider extra protection like travel insurance.
Also read: Budget dilemma: Proposed cuts could hit Medicare and Medicaid, affect millions
6. “Once I pick a plan, I’m stuck with it forever.”
Not so.
You can review and switch Medicare Advantage or Part D plans every year during the Annual Enrollment Period (Oct. 15–Dec. 7).
7. “Medicare covers long-term care.”
Medicare may cover short-term skilled nursing after a hospital stay, but not long-term custodial care like assisted living or help with daily activities.
8. “All doctors accept Medicare.”
Most do, but not all.
Some providers opt out of Medicare or limit the number of Medicare patients they accept.
Always confirm with your doctor.
Also read: Will Medicare Advantage audits affect you? What to know about the government’s new crackdown on overpayments
9. “Medicare and Medicaid are the same thing.”
They’re not.
Medicare is for people age 65+ or with certain disabilities, regardless of income.
Medicaid is a separate program for people with limited income and assets.
10. “There’s only one way to get Medicare.”
You have choices.
Stick with Original Medicare and add Part D and Medigap—or choose a Medicare Advantage plan (Part C), which bundles hospital, medical, and often prescription coverage into one plan from a private insurer.
Quick tips for making Medicare work for you
Whether you’re new to Medicare or have been enrolled for years, staying informed can make a big difference in both your coverage and your wallet.
Don’t let myths steer you off course—take time to review your options, ask questions, and make choices that fit your unique health needs and budget.
Read next: Are you at risk? Representative reveals how UnitedHealthcare might be taking advantage of Medicare
If you’ve learned something the hard way or found a resource that helped you, share it in the comments! Your story might help someone else avoid the same confusion.
With so many opinions, outdated advice, and fine print floating around, it’s easy to misunderstand what Medicare covers, what it costs, and how to make the most of it.
At The GrayVine, we’re here to break it down simply.
No jargon, no pressure—just straightforward information to help you make informed decisions.
Here are 10 Medicare myths we hear all the time—and the facts that can help you avoid costly surprises.

Understanding the facts about Medicare can help you avoid costly mistakes and make the most of your benefits. Image Source: YouTube / KVUE.
1. “Medicare is free for everyone.”
Not quite.
While Medicare Part A (hospital coverage) is free for most people who’ve worked and paid Medicare taxes for at least 10 years, you still pay premiums for Part B (doctor visits and outpatient care) and usually for Part D (prescription drugs).
Copays, deductibles, and coinsurance may also apply.
2. “Medicare covers everything.”
Original Medicare (Parts A and B) does not cover dental, vision, hearing aids, or long-term care.
You’ll need to enroll in a separate plan—like Medicare Advantage or a Medigap policy—to fill those gaps.
Also read: Are insurers profiting from your Medicare plan? New Trump DOJ lawsuit targets major insurance players
3. “You’re automatically enrolled when you turn 65.”
You’ll need to sign up for Medicare, typically starting about three months before you turn 65.
Missing this window can result in late penalties.
4. “My spouse’s Medicare covers me too.”
Medicare is individual coverage.
Even if your spouse is already enrolled, you’ll need to sign up and choose your own plan when you qualify.
5. “Medicare doesn’t work outside the US”
Generally true—but some Medigap plans offer limited emergency coverage overseas.
If you travel often, consider extra protection like travel insurance.
Also read: Budget dilemma: Proposed cuts could hit Medicare and Medicaid, affect millions
6. “Once I pick a plan, I’m stuck with it forever.”
Not so.
You can review and switch Medicare Advantage or Part D plans every year during the Annual Enrollment Period (Oct. 15–Dec. 7).
7. “Medicare covers long-term care.”
Medicare may cover short-term skilled nursing after a hospital stay, but not long-term custodial care like assisted living or help with daily activities.
8. “All doctors accept Medicare.”
Most do, but not all.
Some providers opt out of Medicare or limit the number of Medicare patients they accept.
Always confirm with your doctor.
Also read: Will Medicare Advantage audits affect you? What to know about the government’s new crackdown on overpayments
9. “Medicare and Medicaid are the same thing.”
They’re not.
Medicare is for people age 65+ or with certain disabilities, regardless of income.
Medicaid is a separate program for people with limited income and assets.
10. “There’s only one way to get Medicare.”
You have choices.
Stick with Original Medicare and add Part D and Medigap—or choose a Medicare Advantage plan (Part C), which bundles hospital, medical, and often prescription coverage into one plan from a private insurer.
Quick tips for making Medicare work for you
- Start early. Review your options before you turn 65.
- Compare carefully. Use trusted tools like the Medicare Plan Finder or ask a certified counselor.
- Review your plan each year. Health needs change, and so do plan benefits.
- Ask for help. Free Medicare counseling (SHIP) is available in every state.
Whether you’re new to Medicare or have been enrolled for years, staying informed can make a big difference in both your coverage and your wallet.
Don’t let myths steer you off course—take time to review your options, ask questions, and make choices that fit your unique health needs and budget.
Read next: Are you at risk? Representative reveals how UnitedHealthcare might be taking advantage of Medicare
Key Takeaways
- Medicare isn’t completely free—most people still have to pay premiums, deductibles, and copays, especially for Part B and Part D.
- It doesn’t automatically cover dental, vision, or hearing care unless you choose a Medicare Advantage or supplemental plan.
- You’re not automatically enrolled at 65 unless you already receive Social Security benefits—you must sign up during your enrollment period.
- Medicare and Medicaid are different programs with separate rules, benefits, and eligibility criteria.
If you’ve learned something the hard way or found a resource that helped you, share it in the comments! Your story might help someone else avoid the same confusion.