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What is the difference between Medicare Advantage and Medicare Supplement?

Medicare Advantage replaces Original Medicare with a private plan. Medicare Supplement (Medigap) works alongside Original Medicare to cover gaps in costs.

When can I enroll in Medicare?

Most people enroll at 65. You have a 7-month Initial Enrollment Period around your 65th birthday.

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Look for local experience, independent status (works with multiple carriers), and strong reviews from people in your situation.

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Does Medicare cover Ozempic and other drugs prescribed for weight loss?

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What is the difference between Plan G and Plan N of Medicare?

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What are the reasons why I should work with a Medicare agent?

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108 Medicare Terms Defined

Medicare Glossary

Plain-English definitions for every Medicare term — from ABN to ZIP enrollment. No jargon, no confusion.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

Showing 2 results for "Step therapy" — clear search

Step Therapy

Part D

A coverage requirement where you must try a less expensive drug first before your plan will cover a more expensive one. Commonly used in Medicare Advantage and Part D plans to control costs.

Also known as: Fail first policy

Utilization Management

Part C / Advantage

Processes used by Medicare Advantage and Part D plans to ensure services and drugs are medically appropriate and used efficiently. Includes prior authorization, step therapy, and quantity limits.

Also known as: UM, Utilization review

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