Understanding Medicare

Medicare is a health insurance program for:

• Individuals aged 65 or older,
• Individuals under age 65 with certain disabilities, and
• Individuals of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

Medicare Plan Options:

Part A Hospital Insurance - Most individuals do not pay a premium for Part A because they or their spouse funded it through payroll taxes while employed. Part A covers inpatient care in hospitals, including critical access hospitals, and skilled nursing facilities (excluding custodial or long-term care). It also includes hospice care and select home health care services, subject to specific conditions.

Part B Medical Insurance - Most individuals pay a monthly premium for Part B. Part B covers doctor services, outpatient care, and certain medical services not included in Part A, like some services provided by physical and occupational therapists, as well as some home health care. Part B contributes to the cost of these covered services and medically necessary supplies.

Prescription Drug Coverage - Most individuals pay a monthly premium for this coverage. Starting on January 1, 2006, Medicare prescription drug coverage was made available to all Medicare beneficiaries. This coverage aims to reduce prescription drug expenses and safeguard against potential cost increases. Medicare Prescription Drug Coverage is provided by private companies, and beneficiaries choose a drug plan and pay a monthly premium. Like other forms of insurance, if a beneficiary opts not to enroll in a drug plan when first eligible, they may incur a penalty for late enrollment.

This information comes from www.cms.gov

By contacting the phone number on this website you will be directed to a licensed agent.

Medicare offers more than just its traditional coverage. Alongside its standard parts (A, B, D), there’s an alternative: Medicare Advantage, known as Part C. These plans, provided by private insurance companies approved by Medicare, combine the benefits of Parts A and B, often including prescription drug coverage (Part D) as well. Part C plans might also offer additional perks like vision, dental, and wellness programs, providing a comprehensive alternative to original Medicare. To learn more, click here.