Health Insurance

Medicare consists of different parts that cover specific healthcare services:

• Medicare Part A - Hospital Insurance: Covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health services.
• Medicare Part B - Medical Insurance: Covers outpatient services, doctor visits, preventive care, medical supplies, and other medically necessary services.
• Medicare Part C - Medicare Advantage: Medicare Advantage plans are offered by private insurance companies approved by Medicare. These plans provide the same coverage as Parts A and B (and often Part D) and may offer additional benefits such as dental, vision, and prescription drug coverage.
• Medicare Part D - Prescription Drug Coverage: Provides prescription drug coverage, which can be added to Original Medicare (Parts A and B) or included in a Medicare Advantage plan.
• Original Medicare vs. Medicare Advantage: Original Medicare refers to the combination of Parts A and B, provided directly by the government. Medicare Advantage plans (Part C) are offered by private insurance companies and provide an alternative way to receive Medicare benefits. These plans must cover at least the same services as Original Medicare but often include additional benefits.
• Enrollment and Costs: Most individuals become eligible for Medicare at age 65, and enrollment can occur during specific enrollment periods. Some individuals may qualify for Medicare before turning 65 due to disability or certain medical conditions. While Part A generally has no premium, Part B and Part D typically involve monthly premiums, deductibles, and cost-sharing requirements.
• Coverage Gaps: Medicare coverage may have gaps or cost-sharing requirements, such as deductibles, copayments, and coinsurance. Individuals may choose to supplement their Medicare coverage with Medigap (Medicare Supplement Insurance) policies, which help cover some out-of-pocket costs.
• Coverage for Specific Needs: Medicare also provides coverage for specific needs, including preventive services, durable medical equipment, mental health services, and various therapies. It also offers coverage for skilled nursing facility care, home healthcare, and hospice care.

It is important to note that Medicare coverage can be complex, and individual circumstances may vary. Understanding the different parts, enrollment periods, and coverage options is essential to make informed decisions about healthcare coverage. Our agents provide detailed information and assistance in navigating the Medicare program.