For most Americans, Medicare coverage starts at age 65, at which time every covered person qualifies for Part A, which pays most hospital costs.

The vast majority of 65-year-olds also choose to pay a premium (currently $104.90 per month for most people) for Part B. Getting the "Medicare card," which documents coverage in Parts A and B, is a prerequisite for choosing the rest of the retirement health care safety net including Part C (Medicare Advantage), Part D (Prescription Drug coverage), and Medigap supplemental insurance.

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