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Medicare > What is Medicare
What is Medicare?
Medicare is health insurance for people 65 years or older, under age 65 with certain disabilities, and any age with end-stage renal disease (ESRD) or Lou Gehrig's disease.

Medicare benefits are provided in 4 parts:
PART A - Hospital Services
•Hospital
•Skilled Nursing
•Home Health
•Hospice

Part A helps pay for inpatient hospital care, some skilled nursing facilities, hospice care, and some home health care. Part A is premium-free for most people. Most beneficiaries do pay a monthly premium to be covered under Medicare Part B – the part that helps pay for doctors, outpatient hospital care, and some other care that Part A doesn't cover, such as physical and occupational therapy.

PART B - Professional Services
•Physicians
•Outpatient Hospital Services
•Durable Medical Equipment

Part B covers doctors office visits, both primary care and specialists. You have to apply for and pay a premium for Part B. This is not part of the Medicare you pay into through payroll deduction. You are eligible to sign up for this at age 65.

PART C - Medicare Advantage
•Services covered by Part A and B

You must be in Medicare A and Medicare B to be eligible for Medicare C. Medicare C is from private insurers. This will replace Medicare A and Medicare B and will add more benefits than typical Medicare A & B. It can be either an HMO (a Health Maintenance Organization), PFFS (Private Fee For Service), or a PPO (Preferred Provider Organization). There are many options to what services you can receive through Medicare C, you will have the option to pick what is right for you. The Medicare site has a good book to help you choose and plan your package. (www.medicare.gov).

PART D  - Prescription Drug Coverage
Provides insurance coverage for prescription medications

Medicare Part D is the prescription drug plan that is handled through private insurance sectors. This was added in 2006 to give Medicare patients a plan to cover prescription medications. You will select it either separately or as part of your Medicare C plan.

For Information Regarding Best Available Evidence Standards, please go to: www.cms.hhs.gov/PrescriptionDrugCovContra/17_Best_Available_Evidence_Policy.asp

Medicare > What is Medicare
 
 
 
 
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H3818_web_00114 Pending CMS Approval. Updated 09/14/2011