top of page
doctor-holding-in-hand-medicare-picture

Medicare Basics

Medicare is a federal health insurance program for:

  • People age 65 or older.

  • People under age 65 with certain disabilities.

  • People of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

 

Most people should enroll in (Medicare Part A (Hospital Insurance) when they’re first eligible, but certain people may choose to delay (Medicare Part B (Medical Insurance.)

 

In most cases, it depends on the type of health coverage you may have.

Medicare has different Parts that help cover specific services:

 

  • Medicare Part A (Hospital Insurance) - Part A helps cover inpatient care in hospitals, including critical access hospitals, and skilled nursing facilities (not custodial or long-term care). It also helps cover hospice care and some home health care. Beneficiaries must meet certain conditions to get these benefits. Most people don't pay a premium for Part A because they or a spouse already paid for it through their payroll taxes while working.

  • Medicare Part B (Medical Insurance) - Part B helps cover doctors' services and outpatient care. It also covers some other medical services that Part A doesn't cover, such as some of the services of physical and occupational therapists, and some home health care. Part B helps pay for these covered services and supplies when they are medically necessary. Most people pay a monthly premium for Part B.

 

  • Medicare Part C, (Medicare Advantage Plans) - A Medicare Advantage Plan is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. Medicare Advantage Plans include Health Maintenance Organizations, (HMO), Preferred Provider Organizations, (PPO), Private Fee-for-Service Plans, (PFFS), Special Needs Plans, (SNP), and Medicare Medical Savings Account Plans, (MSA). If you're enrolled in a Medicare Advantage Plan, Medicare services are covered through the plan and aren't paid for under Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage.

 

  • Medicare Part D (Prescription Drug Coverage) - Medicare prescription drug coverage is available to everyone with Medicare. To get Medicare prescription drug coverage, people must join a plan approved by Medicare that offers Medicare drug coverage. Most people pay a monthly premium for Part D.

No%20Obligation%20Quote%201_edited.png
bottom of page