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Medicare Basics

Medicare is a federally funded national health insurance program for those aged 65 and older or individuals with certain disabilities or health conditions. Medicare consists of 4 different parts. Parts A & B together are also called “Original Medicare”.

Medicare Part A

Medicare Part A is also known as Hospital Insurance. Many individuals are eligible for Part A at no premium. If not, Part A is also available to purchase for a monthly premium. There are deductible and coinsurance costs associated with Part A. Some benefits of Part A may include:

  • Hospital stays
  • Skilled nursing care
  • Hospice care
  • Does not include long term care
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Medicare Part B

Medicare Part B is also known as Medical Insurance. There is a monthly premium for Medicare Part B. It is important to enroll in Part B when first eligible to avoid a late enrollment penalty. There is an annual deductible and coinsurance expenses. Services that may be included under Part B are:

  • Physician services
  • Outpatient hospital services
  • Some home health care
  • DME – Durable Medical Equipment
  • Preventative care
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Medicare Part C – Medicare Advantage

Medicare Advantage Plans are an alternative to Original Medicare (Parts A & B) and are offered by private insurance companies. Plans costs and benefits vary by carrier and may have premiums, deductibles and networks of doctors and hospitals.

  • All of the benefits of Original Medicare are included
  • May offer additional benefits such as dental or vision
  • Prescription drug coverage may be included
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Medicare Part D – Prescription Drug Coverage

Medicare Part A is also known as Hospital Insurance. Many individuals are eligible for Part A at no premium. If not, Part A is also available to purchase for a monthly premium. There are deductible and coinsurance costs associated with Part A. Some benefits of Part A may include:

  • Part D plans have a formulary of covered drugs
  • There are premiums, coinsurance and copayments with Part D Plans
  • Purchasing a Part D plan is optional, however, there may be penalties if enrollment is delayed
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