This Medicare prescription drug coverage benefit is offered to everyone who has Medicare, but you can choose not to sign up for it. And whichever type of Medicare Advantage plan you have, you're always covered for emergency care and urgent care. Other things to keep in mind: Even if you’re in a Medicare Advantage plan, Original Medicare will still cover hospice care costs and certain new Medicare benefits. Most of the time you'll need to use doctors who are in the plan's network. Part C plans may have lower out-of-pocket costs than Original Medicare. Wellness programs such as gym memberships.Most Medicare Advantage plans offer prescription drug coverage and also help cover things that Original Medicare doesn’t, including: If you enroll in a Medicare Advantage plan, most of your Medicare services will be covered through that plan. Preferred provider organizations (PPOs).Health maintenance organizations (HMOs).Different types of plans fall under the umbrella of Medicare Advantage and include: The private health plan company contracts with Medicare to provide you with all of your Part A and B benefits. Think of it as an all-in-one option over and above Original Medicare - meaning, “bundled" plans that include Part A, Part B and usually D. In other words, it’s not provided through the government, like Original Medicare is. This type of Medicare health plan is offered by private insurance companies that are approved by Medicare. Part C is most often called Medicare Advantage. Most people pay a monthly premium and a yearly deductible for Part B. Part B helps pay for covered services and supplies such as physical and occupational therapists and some home health care. Part B also covers other health care services that Part A doesn't. Doctors' services, such as office visits.Also, if you or a spouse have already paid toward Medicare through payroll while working, you usually won’t pay a premium for Part A.Īlthough there’s no monthly premium, you may have out-of-pocket costs for coinsurance, copayments and deductibles. The two other plans, Part C and Part D, were added later as Medicare offerings expanded.Īs a beneficiary who receives health care insurance through the Medicare program, you need to meet certain conditions. The first two plans - Part A and Part B - are known as Original Medicare. Here’s a quick primer about the various parts (plans) of Medicare - think of them as the ABCDs of the program. It can be confusing, but it helps to start with the basics. With all the choices available, Medicare plans certainly aren’t one-size-fits-all. People with end-stage renal disease (ESRD), who need dialysis or a kidney transplant.People under 65 with certain disabilities.People 65 and older who select Medicare coverage.Over the years, Medicare has changed to include: These two parts are now called “Original Medicare,” although you don’t have to sign up for both. The original program included Part A, which is hospital insurance, and Part B, which is medical insurance. In 1965, the Medicare bill was signed into law as a basic insurance program for Americans who didn’t have a health plan. A word about Medicare supplemental plans.Tips on how to enroll in Medicare plans.An overview of Medicare Parts A, B, C and D.Read on for an overview of Medicare plans and an invitation to learn more at a free class. There’s a lot to learn about Medicare, starting with the different parts (plans): ABC and D.
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