Medicare plans or Medicare health insurance provides hospital health insurance coverage to individuals 65 years of age or older. If you have met the the minimum work amount requirements for Social Security, and you are at least 65, you are Medicare eligible. You may also be eligible if you are under 65 and have certain disabilities. People of any age that have End-Stage Renal Disease also meet Medicare eligibility.
Medicare insurance plans are divided into different parts. These plans are referred to as Part A, Part B, Part C and Part D. Each plan covers a different facet of health care.
Medicare Part A
This portion of the Medicare program is the original Medicare plan. It is the part that everyone receives. Part A helps cover inpatient care in hospitals, care in skilled nursing facilities, hospice care and home health care. It does not cover long term or custodial care. Most people do not have to pay a premium for this portion of medicare.
Medicare Part B
The original Medicare program initially covered only inpatient hospital care. Part B of the plan was added to cover medically necessary services. Medically necessary services include doctors’ services, diagnostic tests, outpatient care, physical therapy and some preventive screenings. These are all services that Medicare Plan A does not cover.
Part B is optional. You will have to pay a premium for this insurance. If you are still working, your insurance coverage from your employer may pay fro these services.
Medicare Part C
Medicare plan C is also known as Medicare Advantage. Part C is health care coverage is run by private insurance companies. The private Medicare insurance companies are under contract with the government. Under this plan, your benefits are all provided by the private insurance companies. The insurer pays you claims, not the government.
Medicare Part C plans may be an HMO or PPO. It includes Part A and B. You still have to pay the part B premium. It may include prescription drug benefits. Plan C may also include Medicare supplemental insurance which cover gaps left by Medicare.
Medicare Part D
Part D is the portion of the Medicare plan that covers prescription drugs. Like Medicare Advantage, it is run by private companies under contract with the US government. The purpose of this plan is to help you cover the cost of prescription drugs. It may help lower your cost of prescription drugs, and it may help protect you against higher drug costs in the future.
Medicare drug plans are optional. It requires you to pay a premium. This premium is paid directly to the private health insurance company and not the government.
Medicare plans are available to you if you have met the eligibility requirements. You can choose how you get your health and prescription drug coverage by selecting the Medicare plan you need. If you need more information, additional resources and information may be found by following the various links found of this site. Click the various article links to read more about Medicare health insurance.