Medicare

Get Medicare Coverage in a Timely Manner

Need to Know

Medicare is a government health insurance program administered by the Centers for Medicare & Medicaid Services (CMS).

There are many parts to Medicare. It is extremely important to understand the differences between each, in order to choose the one that fits you best.

Original Medicare only covers 80% of medical expenses. Plans such as Medicare Advantage and Medicare Supplements will pick up the remaining 20%.

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Timing is important

Knowing when to enroll in the various types of Medicare coverage might save you late-enrollment penalties and will help you get the coverage you want in a timely manner. Take a look at Medicare Enrollment and Election Periods to find out when to sign up.

Learn About the Various Medicare Options Available

Additional information

There are four main “parts” of Medicare insurance: Part A, Part B, Part C, and Part D.

Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) together make up Original Medicare.

Medicare Part C, also known as Medicare Advantage

Medicare Part D (prescription drug coverage) programs that let you get Medicare plans through private insurance companies that contract with Medicare.

There is also Medicare Supplement insurance (also called Medigap), which is sold by private companies.

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More Info

Most Medicare beneficiaries do not pay a premium for Medicare Part A. Medicare Part A covers inpatient care in facilities such as (but not limited to) hospitals and skilled nursing facilities. Medicare Part A also covers hospice care and limited home health care.

Medicare Part B is medical insurance that covers doctor visits, medically necessary services and supplies, preventive services, and certain other items and services. Beneficiaries typically have to pay a premium to receive Part B coverage. The federal government manages Original Medicare, which operates as a fee-for-service plan. Most beneficiaries pay a deductible as well as a copayment or coinsurance for these services.

The Medicare Part D program provides prescription drug coverage. You can sign up for a stand-alone Medicare Part D Prescription Drug Plan to work alongside your Original Medicare coverage, or you can get all your Medicare coverage through a Medicare Advantage Prescription Drug plan.

Information About the Different Medicare Plans

If you are looking for Medicare coverage beyond Original Medicare then you may want to consider adding a Supplement or Medicare Advantage Plan.

SUPPLEMENT vs. ADVANTAGE

What's the difference?

  • When you buy a Medicare Supplement, you are still enrolled in Original Medicare, Part A and Part B. Medicare pays for your health-care bills, while the Medigap plan simply covers certain cost-sharing expenses required by Medicare, such as copayments or deductibles. Medigap plans help with other costs that Original Medicare doesn’t cover, such as Medicare Part B excess charges or emergency medical coverage when you’re traveling outside of the country. 

  • Medicare Part C, also known as Medicare Advantage

  • Medicare Advantage plans are an alternative to Original Medicare. Once enrolled, you’re still in the Medicare program, but you will get your Medicare benefits through your Medicare Advantage plan, instead of through the federally administered program, and the Medicare Advantage plan replaces your Original Medicare coverage.

  • Give us a call to find out which one might work best for you.

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Most Medicare beneficiaries do not pay a premium for Medicare Part A. In brief, Medicare Part A covers inpatient care in facilities such as (but not limited to) hospitals and skilled nursing facilities. Medicare Part A also covers hospice care and limited home health care.

Medicare Part B is medical insurance that covers doctor visits, medically necessary services and supplies, preventive services, and certain other items and services. Beneficiaries typically have to pay a premium to receive Part B coverage. The federal government manages Original Medicare, which operates as a fee-for-service plan. Most beneficiaries pay a deductible as well as a copayment or coinsurance for these services.

Medicare Part D The Medicare Part D program provides prescription drug coverage. You can sign up for a stand-alone Medicare Part D Prescription Drug Plan to work alongside your Original Medicare coverage, or you can get all your Medicare coverage through a Medicare Advantage Prescription Drug plan

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Medicare Advantage

Medicare Advantage (Medicare Part C) is another way you can get your Original Medicare, Part A and Part B, coverage. The exception is hospice care, which is still covered under Part A rather than through Medicare Part C. Most Medicare Advantage plans include prescription drug coverage. Types of Medicare Advantage plans include (but aren’t limited to) Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Private Fee-for-Service (PFFS) plans, Special Needs Plans (SNPs), and Medical Savings Account (MSA) plans. Medicare Advantage plans may have lower costs than Original Medicare and may provide additional benefits; details vary among insurance companies and individual plans.