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Parts of Medicare

Part A (Hospital Insurance): Helps cover inpatient care in hospitals, skilled nursing facility care, hospice care, and home health care.

Part B (Medical Insurance): Helps cover: 

  • Services from doctors and other health care providers

  • Outpatient care

  • Home health care

  • Durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment)

  • Many preventive services (like screenings, shots or vaccines, and yearly “Wellness” visits)

Learn the parts of Medicare and what they cover. Get familiar with other terms and the difference between Medicare and Medicaid.

Part D (Drug coverage): Helps cover the cost of prescription drugs (including many recommended shots or vaccines). You join a Medicare drug plan in addition to Original Medicare, or you get it by joining a Medicare Advantage Plan with drug coverage. Plans that offer Medicare drug coverage are run by private insurance companies that follow rules set by Medicare.

Medicare Supplemental Insurance (Medigap): Extra insurance you can buy from a private company that helps pay your share of costs in Original Medicare. Policies are standardized, and in most states named by letters, like Plan G or Plan K. The benefits in each lettered plan are the same, no matter which insurance company sells it.

Your Medicare Options

When you first sign up for Medicare and during certain times of the year, you can choose which way to get your Medicare coverage.

Your Medicare Options

  • Original Medicare includes Part A and Part B.

  • You can join a separate Medicare drug plan to get Medicare drug coverage (Part D).

  • You can use any doctor or hospital that takes Medicare, anywhere in the U.S.

  • To help pay your out-of-pocket costs in Original Medicare (like your 20% coinsurance), you can also buy supplemental coverage, like Medicare Supplement Insurance (Medigap), or have coverage from a former employer or union, or Medicaid.

Medicare Advantage (also known as Part C):

  • Medicare Advantage is a Medicare-approved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These “bundled” plans include Part A, Part B, and usually Part D.

  • In most cases, you’ll need to use doctors who are in the plan’s network.

  • Plans may have lower out-of-pocket costs than Original Medicare.

  • Plans may offer some extra benefits that Original Medicare doesn’t cover — like vision, hearing, and dental services.

What’s the difference between Medicare & Medicaid?

Medicare is federal health insurance for anyone age 65 and older, and some people under 65 with certain disabilities or conditions. Medicaid is a joint federal and state program that provides health coverage for some people with limited income and resources.  Medicaid offers benefits, like nursing home care, personal care services, and assistance paying for Medicare premiums and other costs.

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Disclaimer

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ADVOCATE FINANCIAL LLC. and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. ADVOCATE FINANCIAL LLC. represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan’s contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent over 30 organizations which offer over 10,000 products nationally. We search and recommend all plans, even those we don’t directly offer, and the number of carriers and plans we offer in your specific zip code may be different. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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