“My Friend Knows All About Medicare” (But Do They Really?)

Turning 65 is a major milestone. There’s the celebration, the congratulations… and then there’s Medicare. Suddenly, your mailbox is overflowing, your phone won’t stop ringing, and your neighbor—who once borrowed your ladder and never returned it—is now offering “expert” Medicare advice.
One of the most common things we hear from people who are newly eligible for Medicare is this:
“Oh, I don’t need help. My friend knows all about Medicare.”
Here’s the truth: they probably don’t. And that’s not an insult—it’s just reality.
In this blog post, we’ll explore why leaning on your friend’s advice (no matter how well-intentioned) could steer you wrong, and what you should be doing instead. Think of this as a gentle guide to avoiding the “friend trap” while still keeping your friendships intact.
Let’s start by giving your friend the benefit of the doubt.
Maybe they’re already on Medicare and they want to help. Maybe they had a good experience with a certain plan. Or maybe they just want to feel useful. That’s fine. That’s human.
But here’s the issue: Medicare is not one-size-fits-all.
Your friend:
  • Might not take the same medications as you
  • Might not have the same doctors or health conditions
  • Might live in a different zip code or county
  • Might be eligible for programs or benefits that you aren’t—or vice versa
And yet, we constantly hear people say things like:
  • “My buddy said Medicare Advantage is free.”
  • “My neighbor told me I don’t need Part D because I’m healthy.”
  • “My sister said she got a Supplement and never has to pay anything, ever.”
Those statements may be partially true for them , but applying them to your situation can lead to real financial consequences, network issues, and coverage gaps.

The Problem with “Friendly” Medicare Advice

Why This Happens: Medicare Is Confusing

Let’s face it—Medicare can be complicated. There are:
  • Multiple parts (A, B, C, D)
  • Two very different paths (Original Medicare + Supplement vs Medicare Advantage)
  • Enrollment rules and timelines
  • Penalties if you don’t enroll correctly
  • Different rules depending on whether you’re still working, have retiree coverage,or qualify for special programs
It’s no wonder people try to simplify it by following what someone else did. It feels easier. Safer. Familiar.
But Medicare is like taxes—just because your brother-in-law does his own with a calculator and a shoebox of receipts doesn’t mean you should.

The Cost of Bad Advice

Here are just a few real-world examples of what can happen when people rely on informal advice:

1. Missing Enrollment Deadlines

Your friend might say you can sign up “whenever,” but if you wait too long, you could face late penalties for Part B and Part D that last for life .

2. Picking a Plan That Doesn’t Cover Your Medications

A friend may rave about how great their $0-premium Medicare Advantage plan is—until you realize it doesn’t cover the brand-name prescription you take, or it requires step therapy or prior authorizations for treatments you need regularly.

3. Getting Stuck Without Your Doctors

Not all doctors accept all Medicare Advantage plans. If you follow a friend’s recommendation and your provider isn’t in-network, you could face higher costs—or have to find a new doctor entirely.

4. Overpaying for Coverage You Don’t Use

On the flip side, you may be on Original Medicare with a pricey Supplement plan because your friend told you it’s the “best,” but you might be barely using your benefits and overpaying each month for peace of mind you may not need at this stage of life.

Why Friends Mean Well—but Fall Short

Your friend isn’t trying to lead you astray. They genuinely think they’re helping.
But they:
  • Probably haven’t studied Medicare rules
  • Don’t know current 2025 plan costs or drug formularies
  • Aren’t licensed or trained to compare plans
  • May not even remember why they chose the plan they have
In fact, if you press a little harder, you might discover your “expert” friend just signed up for whatever plan was suggested to them during a 20-minute call three years ago.

How to Talk to Your Friend Without Starting a War

This can be a sensitive topic. You don’t want to offend someone by rejecting their help. Here are a few ways to keep the peace and protect your Medicare decision:
  • “Thanks for the advice! I’m looking into all my options to make sure I get what’s best for me.”
  • “That’s great it worked for you—my health situation’s a little different, so I’m reviewing some other plans, too.”
  • “I’ve been reading up on this and talking to someone who specializes in Medicare just to make sure I don’t miss anything important.”
That last one is key: talk to someone who’s trained to help you—not just someone who once had to make the decision themselves.

What You Should Do Instead

Here’s how to make smart Medicare decisions based on facts, not friendly opinions:
  • Visit Medicare.gov to compare plans
  • Review your Annual Notice of Change (ANOC) every fall
  • Look up the drug formulary to see if your prescriptions are covered
An independent Medicare advisor can:
  • Compare plans from multiple carriers
  • Review your prescriptions and doctors
  • Help you avoid penalties and coverage gaps
  • Answer your questions without pressure or sales tactics
Most importantly: they tailor the advice to you.

Final Thought: Friends Are Great—But Not for Medicare Advice

It’s wonderful to have friends who care. But when it comes to Medicare, what works for them may not work for you. Worse, taking the wrong advice could cost you time, money, and peace of mind.
So the next time someone says, “Oh don’t worry, I know all about Medicare,” smile, thank them kindly, and go do your homework anyway.
Or better yet, speak to someone who actually does know what they’re talking about.
  • Start reviewing your Medicare options 3–6 months before your 65th birthday
  • Gather a list of your current doctors and prescriptions
  • Learn the difference between Original Medicare + Supplement vs Medicare Advantage
  • Don’t rely solely on well-meaning friends or coworkers—seek professional guidance if you’re unsure

Choosing the Right Medicare Coverage

Selecting the best Medicare coverage depends on factors like your healthcare needs, budget, and preferred providers. You can choose between:
  • Original Medicare (Parts A & B): Allows you to see any doctor or
    hospital that accepts Medicare but does not include prescription drug
    coverage (Part D) or additional benefits.
  • Medicare Advantage (Part C): Offers bundled coverage with
    potential extra benefits but may require using a network of providers.
  • Medigap (Medicare Supplement Insurance): Helps cover
    out-of-pocket costs not covered by Original Medicare, such as
    copayments and deductibles.

Key Medicare Enrollment Periods

It is crucial to enroll in Medicare at the right time to avoid penalties and ensure continuous coverage:
  • Initial Enrollment Period (IEP): A seven-month window starting
    three months before your 65th birthday month.
  • General Enrollment Period (GEP): From January 1 to March 31
    each year for those who missed their IEP.
  • Annual Election Period (AEP): From October 15 to December 7,
    allowing you to switch or enroll in Medicare Advantage and Part D
    plans.
  • Open Enrollment Period(OEP): From January 1 to March 31 for
    those who missed AEP and want to make certain changes.
  • Special Enrollment Period(SEP): Can be used anytime during the
    calendar year for those that meet certain criteria such as moving to a
    new service area.

Finding Help with Medicare

Understanding Medicare can be complex, but you don’t have to do it alone. Licensed Insurance Brokers, Medicare.gov, and state health assistance programs can provide guidance tailored to your specific needs.
By taking the time to explore your Medicare options, you can make informed decisions that ensure you receive the healthcare coverage that best suits your lifestyle and budget.
Do I have to sign up for Medicare?
It depends upon your current coverage. If you are employed and your employer has over 20 employees then you can delay signing up for Medicare and avoid penalties.
No, You will have to enroll in a stand alone Part D plan or a Medicare Advantage Plan(Part C) to get coverage.
There are no networks with Medicare and most doctors and hospitals accept it. However, Medicare does not cover 100% of services so a Medicare Supplement or Medicare Advantage plans is advisable.

Mike Miligi- Owner

For over 10 years, Mike has been assisting Seniors and other Medicare-eligible individuals in understanding the ins and outs of Medicare and Medicare Health Insurance options, including Medicare Advantage Plans(Part C), Medicare Supplement Plans(Medigap), Prescription Drug Plans(PartD), and Dental and Vision programs.
Mike is Licensed in seven States and Certified with 11 Insurance Carriers. He has helped thousands of individuals decide on the best course of action for their particular Health Insurance needs. Because Mike is an Independent Medicare Health Insurance Broker, he works for the client, not the Insurance Carriers, and is able to provide his clients with accurate and unbiased Health Insurance options.
Mike recertifies with CMS(The Centers for Medicare and Medicaid Services) annually, regularly completes Continuing Education Courses required by individual State Insurance Departments, and keeps abreast of industry trends and standards to offer his clients the most up-to-date information.
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