What is Medicare?
Medicare is a federal health insurance program for people in the U.S. who are 65 and older as well as some younger people with disabilities. Medicare was created to help cover medical costs as you get older. Medicare is basic health insurance but does not cover everything. Coverage can be broken down into four parts.
The Different Parts of Medicare
Medicare Part A
Commonly referred to as Hospital Insurance, Medicare Care Part A covers most inpatient medical services. Part A typically does not cover any of the actual procedures but rather the cost for the facilities or services. Part A requires the member to pay $1,408.00 Hospital Deductible.
What Medicare Part A Covers
- Hospital Care
- Skilled nursing Facility Care
- Hospice Care
- Nursing Home Care (if necessary, not assisted living)
- Home Health Services
Medicare Part B
Medicare Part B is medical insurance that covers both necessary medical services and preventative services. What is considered a medically necessary service? The supplies or services that are needed to diagnose or treat your medical condition. Preventative services are treatments meant to prevent illnesses or treat them at an early stage when it is most effective (i.e. flu shot). As long as each of these services meet the standard of normal health practices and are performed at a facility that accepts medicare, you are covered. Part B has an annual Deductible of $198.00
What Medicare Part B Covers
- Primary Care Physicians & Specialists
- Laboratory, Diagnostic, Radiology
- Clinical Research
- Ambulance Services
- Durable Medical Equipment
- Limited Outpatient Prescription Drugs
- Inpatient, Outpatient, & Partial Hospitalization Mental Health
Medicare Part C
Medicare Part C is also known as a Medicare Advantage Plan. These plans can offer additional benefits & services that go beyond your original Medicare coverage (Parts A & B). Part C policies are offered by private insurance companies. These companies pay for all of your medical needs upfront and medicare reimburses them. Medicare Advantages plan vary from State to State and even County to County, and there are typically Copays for every service such as Specialist visits, Labs/X-rays, or Hospitalization
What Medicare Part C Can Cover
- Part A Coverage
- Part B Coverage
- Prescription Drug Coverage
- Wellness Programs
- Gym Memberships
- Transportation to doctor visits
With additional benefits and coverage comes additional costs. Medicare Part C typically can be found with a $0.00 monthly premium, however many offer plans with a monthly premium which can vary based on your health history and the private company of your choosing. Get a quote for Medicare Part C today!
Medicare Part D
Medicare Part D policies, or Prescription Drug Policies , cover the costs of medications. Medications can cost a fortune but can be necessary to have. That is why Medicare Part D policies were created. These private insurance companies provide a network of pharmacies that offer medications at a discounted rate, or a "Co-pay" in return for a monthly premium. Part D policies may still have some out of pocket on top of the monthly premiums that are paid but these policies can save you thousands in medication costs.
What Medicare Part D Covers
- Prescription Medications
The medications covered vary depending on the insurance company. Get a free quote to find out which insurance company will cover your medication costs!