What Do the 4 Parts of Medicare Cover?

Understanding the Parts of Medicare

Medicare is a federal health insurance program primarily for people age 65 and older, but it also covers some younger individuals with disabilities. Medicare is divided into four main parts: Part A, Part B, Part C, and Part D. Each part helps cover different healthcare services. Let’s explore what each part includes and how it can benefit you.

Medicare Part A: Hospital Insurance

Medicare Part A, also known as hospital insurance, helps cover inpatient care in hospitals, skilled nursing facility care, hospice care, and some home health care services. Most people don’t pay a premium for Part A because they or their spouse paid Medicare taxes while working.

• Inpatient hospital care
• Skilled nursing facility care
• Hospice care
• Home health care

Medicare Part B: Medical Insurance

Medicare Part B covers outpatient care, doctor visits, preventive services, and some home health care. Unlike Part A, most people pay a monthly premium for Part B. It’s crucial to understand what Medicare Part B covers to make the most of your Medicare coverage.

• Doctor visits
• Outpatient care
• Preventive services (e.g., flu shots)
• Durable medical equipment (e.g., wheelchairs)

Medicare Part C: Medicare Advantage

Medicare Part C, also known as Medicare Advantage, is an alternative to Original Medicare. These plans are offered by private insurance companies approved by Medicare. Medicare Advantage Plans provide all of Part A and Part B coverage and often include additional benefits like prescription drug coverage, dental, and vision care.

• All benefits from Part A and Part B
• Prescription drug coverage
• Additional benefits (e.g., dental, vision)

Medicare Part D: Prescription Drug Coverage

Medicare Part D provides prescription drug coverage. These plans are offered by private insurance companies and help cover the cost of prescription drugs. Joining a Medicare Part D plan can help lower your drug costs and protect against higher costs in the future.

• Prescription drug coverage
• Catastrophic coverage for high drug costs

Medigap: Supplemental Insurance

Medigap, also known as Medicare Supplement Insurance, is sold by private companies to help pay some of the healthcare costs that Original Medicare doesn’t cover, such as copayments, coinsurance, and deductibles. Medigap policies are designed to work with Original Medicare.

• Copayments
• Coinsurance
• Deductibles

How Medicare Works with Medicaid

Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources. Some individuals qualify for both Medicare and Medicaid, which can help cover costs Medicare does not. Understanding how Medicare and Medicaid work together can maximize your benefits.

Choosing the Right Medicare Plan

Deciding which Medicare Plan is right for you depends on your health needs and financial situation. Original Medicare (Part A and Part B) provides basic coverage, while Medicare Advantage (Part C) and Medigap offer additional options. It’s essential to compare different Medicare options to find the plan that best suits your needs.

We’re Here to Help

At Green Insurance Agency in Orange Park, Florida, we understand that choosing the right Medicare Plan can be overwhelming. We’re here to help you understand your Medicare options and find the best plan for you. Call us today at 904-717-1176 to speak with a knowledgeable agent who can guide you through the process and answer all your questions.