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Medicare : Medicare Basics

 
Medicare is a federal health insurance program. It’s available to people 65 and older, people under 65 with certain disabilities, and people with end-stage renal disease.

Different parts of Medicare cover different services. The parts of Medicare are:

Part A—Hospital Coverage
  • Helps cover inpatient hospital care.
  • Helps cover care in a skilled nursing facility or hospice.
  • Also helps cover home health care.

 
Part B—Medical Coverage
  • Helps cover doctor and outpatient services.
  • May cover preventive services to maintain health or keep illnesses from getting worse.
  • In many cases, those who have Part B coverage pay a monthly premium.

 
Part C—Medicare Advantage
  • An alternative to the Original Medicare insurance program and administered by the federal government, Part C gives you the option to enroll in a Medicare Advantage health plan offered by private companies such as WellCare.
  • Private companies that offer Medicare Advantage plans are approved by Medicare to provide and administer benefits for their members.
  • Part C plans cover the same services as Part A and Part B and, in some cases, prescription drug coverage is included as well.

     
Part D—Prescription Drug Coverage
  • Helps cover cost of prescription drugs.
  • Offered by private companies like WellCare (requiring a monthly premium).
  • May be a stand-alone Prescription Drug Plan, or may be included as part of a Medicare Advantage (Part C) plan.

 

When it comes to coverage, you have options:

  • You can get health services through Original Medicare and select a private Prescription Drug Plan.
  • You can get both your health services and prescription drug coverage through a Medicare Advantage plan that offers both.
  • You can purchase a Medicare Supplement plan from private insurance companies to cover the gaps in Original Medicare.

Y0070_NA016404_WCM_WEB_ENG CMS Approved 10272011


Last modified: 10/27/2011

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