Original Medicare Program
The Original Medicare Program is made up of 4 Parts currently. But at any given time, you will only be using either Part A, Part B, Part C, or Part D. Below is the breakdown for what each of these do:
MEDICARE PART A:
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and home health care.
Most of the time, Part A doesn't cost you anything in terms of monthly premium as long as you have paid 40 quarters in the Medicare system through your taxes while you were working.
If you do end up needing to use your benefits, there is a large deductible that needs to be met before Part A starts paying benefits, but you will be covered for the 1st 60 days after you begin to realize copays and coinsurance.
MEDICARE PART B:
Medicare Part B is outpatient medical coverage. Part B helps pay for medically necessary services performed on an outpatient basis needed to diagnose and treat a medical condition.
Visits to your Primary Care Physician, Specialists, Surgeries, lab work, and preventative services are all covered under Part B. You would be responsible for a monthly premium that will be withdrawn directly from your Social Security check if you are drawing Social Security. Otherwise, you would need to pay the premium three months at a time from your checking account.
There is a once-a-year deductible that you would have to meet before Part B pays anything, then it is an 80/20 split where you would be responsible for 20% of the costs of service.
MEDICARE PART C:
Medicare Part C is also called Medicare Advantage (MA or MAPD). It's an alternative to Original Medicare. Medicare Advantage may include prescription drug coverage, along with other extra benefits. It is offered through private insurance companies, not through Social Security. These are usually network plans, such as HMOs and PPOs, with copayments and coinsurance throughout the plan based on services rendered. If you have an MA plan, then this becomes your Primary Insurance, and Original Medicare gets set aside, but you will still need to continue paying your Part B premiums.
MEDICARE PART D:
Medicare Part D is your prescription drug coverage. Part D coverage is available as a Stand-Alone Option (PDP) or part of a Medicare Advantage plan (Part C). Part D plans are offered by private insurance companies contracted and approved by Medicare, and you must have credible drug coverage when you join Original Medicare or if you choose a Medicare Advantage plan.
To learn more about the options of having Original Medicare with a Supplement and Drug Plan OR choosing a Medicare Advantage plan, please click one of the buttons below. You can also always press the "Click to Call" button above to reach us today!
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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
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