Medicare

 Medicare is health insurance for people 65 or older, certain people under 65 with disabilities, and people of any age with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant).

The different parts of Medicare The different parts of Medicare help cover specific services

Medicare parts.jpg

Part A (Hospital Insurance)

Helps cover:

• Inpatient care in hospitals

• Skilled nursing facility care

• Hospice care

• Home health care

Part B (Medical Insurance) Helps cover:

• Services from doctors and other health care providers

• Outpatient care • Home health care

• Durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment)

• Many preventive services (like screenings, shots or vaccines, and yearly “Wellness” visits)

Medicare Part C
Part C of Medicare is somewhat confusing. Unlike the other parts of Medicare, which cover specific medical benefits, Medicare Part C is just another name for private Medicare insurance. You would get Part C  provided you have Part A and Part B of Medicare. Advantage plans usually have a network of providers.  Part C plans can often have lower premiums than Medigap plans. 

Part D (Drug coverage)

Helps cover cost of prescription drugs (including many recommended shots or vaccines). Plans that offer Medicare drug coverage are run by private insurance companies that follow rules set by Medicare

Your Mediare options

When you first enroll in Medicate and during certian times of the year, you can choose how you get your Medicare coverage. There are 2 main ways to get.

Original Medicare 

  • Original Medicare includes Medicare Part A (Hospital Insurance) and Part B (Medicare Insurance)

  • If you want drug coverage, you can join a seperate Part D plan.

  • To help pay your out-of-pocket costs in Original Medicare (like your 20% coinsurance), you can also shop for and buy supplement coverage.

  • Can use any doctor or hospital that takes Medicare, anywhere in the US.

Part A

Part B

You can add:

part D

You can also add:

Supplement coverage

(Some examples inclue coverage from a Medicare Supplement Insurance (Medigap) policy, or coverage from a former employer or union.)

Medicare Advantage 

(also known as Part C)

  • Medicare Advantage is an "all in one" alternative to Original Medicare. These "bundled" plans include Part A, Part B, and usually Part D.

  • Plans may have lower out-of-pocket costs than Original Medicare.

  • In most cases, you'll need to use doctors who are in the plans's network.

  • Most plans offer extra benefits that Original Medicare doesn't cover- like vision, hearing, dental, and more. 

Part A

Part B

Most plans include:

Part D

Extra benefits

Some plans also include:

Lower out of pocket- costs.