MEDICARE EDUCATION & RESOURCES

WHAT IS MEDICARE?

 

Medicare is the federal health insurance program for:

  • People who are 65 or older
  • Certain younger people with disabilities
  • People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)

The different parts of Medicare help cover specific services:

MEDICARE PART A (HOSPITAL INSURANCE)

 Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. 

MEDICARE PART B (MEDICAL INSURANCE)

 Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services. 

MEDICARE PART C (MEDICARE ADVANTAGE PLANS)

 

A type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all of your Part A and Part B benefits. Medicare Advantage Plans include:

  • Health Maintenance Organizations
  • Preferred Provider Organizations
  • Private Fee-for-Service Plans
  • Special Needs Plans
  • Medicare Medical Savings Account Plans

If you’re enrolled in a Medicare Advantage Plan:

  • Most Medicare services are covered through the plan
  • Medicare services aren’t paid for by Original Medicare

Most Medicare Advantage Plans offer prescription drug coverage.

MEDICARE PART D (PRESCRIPTION DRUG COVERAGE)

 

Part D adds prescription drug coverage to:

  • Original Medicare
  • Some Medicare Cost Plans
  • Some Medicare Private-Fee-for-Service Plans
  • Medicare Medical Savings Account Plans

These plans are offered by insurance companies and other private companies approved by Medicare. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare Prescription Drug Plans.

 


WHAT SHOULD I CHOOSE?

 

There are 2 main ways to get your Medicare coverage—Original Medicare (Part A and Part B) or a Medicare Advantage Plan (Part C). Some people get additional coverage, like Medicare prescription drug coverage or Medicare Supplement Insurance (Medigap). Use these steps to help you decide what coverage you want:

STEP 1

Decide if you want original medicare or a medicare acvantage plan like an HMO or PPO.

STEP 2

Decide if you want prescription drug coverage (Part D)

STEP 3

Decide if you want supplemental coverage

*OTHER OPTIONS

 

HELPFUL VIDEOS FOR CLIENTS

Medicare Basics Explained

 

What is Medicare? Advantage, Part D, Supplement - What are the differences? - How will delaying in making a decision affect you. Very informative video.

 

Understanding Medicare Choices

Medicare Enrollment & Plan Differences

 

Medicare enrollment can be difficult to understand. This lesson in Medicare and You takes you through the basics of Medicare, describing the whos, whats, and hows of Parts A, B, C and D, as well as what Medicare Advantage Plans entail.

 

Medicare Card Update

 

New Medicare cards are coming! Medicare is mailing new cards between April 2018 and April 2019. The new card has a Medicare Number unique to you, instead of your Social Security Number. Your new card will automatically come to you-just make sure Social Security has your most up-to-date address.