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What is Medicare

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Medicare Part A

Medicare Part A is often referred to as Hospital Insurance. It's one of the two main parts of Original Medicare.   

What does it cover?
  • Inpatient hospital stays: This includes room, board, and certain medical services. 
  • Skilled nursing facility care: This is for those who need short-term care after a hospital stay.
  • Hospice care: For individuals with a terminal illness.   
  • Home health care: This covers services received at home when you're unable to leave.   -Who is eligible?

Most people age 65 or older are eligible for Part A. However, some younger people with disabilities or certain medical conditions may also qualify. 1

Use full links:

  CMS.gov



Medicare Part B

Medicare Part B is often referred to as Medical Insurance. It's the other main part of Original Medicare.

What does it cover?

  • Doctor's services: This includes office visits, surgeries, and other medical procedures.
  • Outpatient hospital services: This covers tests and procedures performed in a hospital but not requiring overnight stay.
  • Durable medical equipment: This includes items like wheelchairs, walkers, and oxygen equipment.
  • Preventive services: This includes screenings and checkups to help prevent illnesses.

Who is eligible?

Most people who are eligible for Part A are also eligible for Part B. However, there's a monthly premium for Part B, even if you're receiving Social Security.

Medicare.gov



Medicare Part C

also known as Medicare Advantage, is a type of health plan offered by private companies approved by Medicare. It's an alternative to Original Medicare (Parts A and B) and often includes prescription drug coverage (Part D).

Here's a breakdown of what Medicare Advantage plans typically offer:

  • Combination of Parts A, B, and often Part D: This means you get coverage for hospital stays, doctor's visits, and prescription drugs all in one plan.
  • Additional benefits: Many Medicare Advantage plans offer extra benefits that Original Medicare doesn't, such as vision, dental, or hearing coverage.
  • Network of providers: You'll usually need to see doctors and get treatment within a specific network of providers.
  • Copayments and deductibles: Like Original Medicare, Medicare Advantage plans may have copayments and deductibles.
  • Limited coverage: Some services may have limitations or exclusions compared to Original Medicare.

When to consider a Medicare Advantage plan:

  • You want extra benefits: If you need coverage for vision, dental, or hearing, a Medicare Advantage plan might be a good option.
  • You want lower out-of-pocket costs: Some Medicare Advantage plans offer lower premiums and copayments than Original Medicare.
  • You prefer a managed care plan: If you like the idea of having a network of providers and coordinated care, a Medicare Advantage plan might be a good fit.

It's important to note that Medicare Advantage plans can vary widely in terms of coverage, costs, and benefits. It's a good idea to compare different plans to find one that meets your specific needs and preferences.

HHS.gov



Medicare Part D

is a prescription drug coverage plan offered by private insurance companies. It's optional, but it's a good choice if you need prescription drug coverage.

Here's a breakdown of what Part D covers:

  • Prescription drugs: This includes most prescription medications, from generic drugs to brand-name medications.
  • Coverage gap: Part D has a coverage gap, also known as the "donut hole." This is a period of time when you'll pay more for your prescriptions out-of-pocket.
  • Premiums, copayments, and deductibles: Like other insurance plans, Part D has premiums, copayments, and deductibles.
  • Limited coverage: Some prescription drugs may have limitations or exclusions.

When to consider a Part D plan:

  • You need prescription drug coverage: If you take prescription medications, a Part D plan can help you manage the costs.
  • You want to avoid the coverage gap: Some Part D plans offer features that can help you minimize or avoid the coverage gap.
  • You want a plan that fits your budget: Part D plans vary in terms of premiums, copayments, and deductibles.

It's important to compare different Part D plans to find one that meets your specific needs and budget. You can use Medicare's online plan finder to compare plans and get more information.

Mericare.gov