the parts of Medicare

Medicare Part A

Part A is a component of the U.S. government's health program, offering coverage primarily for inpatient hospital care, skilled nursing, hospice, and home health services.

Medicare Part A is a component of the U.S. government’s health program, offering coverage primarily for:

  • inpatient hospital care,
  • skilled nursing,
  • hospice,
  • and home health services.

Eligibility typically begins at age 65, with possible automatic enrollment or specific sign-up periods. With part A most beneficiaries do not pay monthly premiums, but there are deductibles and coinsurance costs. This plan focuses on inpatient care and related services, with coordination options for comprehensive coverage through other parts (B, C, and D).

Medicare Part B

Part B is a segment of the U.S. government's health program that focuses on outpatient and medical services.

Part B is a segment of the U.S. government’s health program that focuses on outpatient and medical services. Acceptability begins at age 65, either with automatic enrollment or during specific sign-up periods. Additionally, monthly premiums are based on income, and beneficiaries are responsible for deductibles and coinsurance for services.

Most plans offer coverage for:

  • doctor visits,
  • outpatient care,
  • lab tests,
  • and preventive services.

Similarly, enrollment follows the same windows as Part A, and it can be coordinated with other parts (A, C, and D) for comprehensive coverage.

Medicare Part C

Part C, also known as Medicare Advantage, is an alternative to traditional Medicare (Parts A and B). It's offered by private insurance companies approved by Medicare. Medicare Part C combines hospital (Part A) and medical (Part B) coverage into one plan, often with additional benefits like prescription drug coverage (Part D), dental, vision, and wellness programs. Eligible individuals can choose Medicare Advantage plans instead of traditional Medicare. These plans may have different costs, rules, and provider networks, but they provide an all-in-one approach to healthcare coverage.

Medicare Advantage, also known as Part C, serves as an alternative to traditional Medicare (Parts A and B). These plans are provided by private insurance companies approved by Medicare. Moreover, Medicare Part C combines hospital coverage (Part A) and medical coverage (Part B) into a single plan, often offering additional benefits such as:

  • prescription drug coverage (Part D)
  • dental,
  • vision,
  • and wellness programs.

Qualifying individuals can choose Medicare Advantage plans instead of traditional Medicare. Part C plans may have different costs, rules, and provider networks, but they provide an all-in-one approach to healthcare coverage.

Medicare Part D

Part D is a prescription drug coverage program offered by private insurance companies approved by Medicare. It helps Medicare beneficiaries afford prescription medications. Part D plans vary in cost, coverage, and the specific drugs they cover. Beneficiaries can choose a Part D plan to add drug coverage to their Original Medicare (Parts A and B) or as part of a Medicare Advantage (Part C) plan. Enrollment in a Part D plan is optional but can provide significant savings on prescription drug costs.

Part D, offered by approved private insurance companies, is a prescription drug coverage program. In essence, it assists Medicare beneficiaries in affording prescription medications. Furthermore, these plans differ in cost, coverage, and the specific drugs they cover. As a result individuals can opt for a Part D plan to supplement their Original Medicare (Parts A and B) or as part of a Medicare Advantage (Part C) plan. While enrollment in a Part D plan is optional, it can yield substantial savings on prescription drug expenses.

Medigap Plans

Medigap plans, or Medicare Supplement plans, are private insurance options available.

Medigap plans, or Supplement plans, are private insurance options available to Medicare beneficiaries to fill the gaps in coverage left by Original Medicare. Generally these standardized plans, labeled with letters like Plan F or Plan G, help cover deductibles, copayments, and coinsurance costs, offering peace of mind by reducing out-of-pocket expenses. Medigap plans do not cover services outside of Medicare’s scope, they provide flexibility in choosing healthcare providers and are renewable as long as premiums are paid.

I’d like to assist in educating you about your options, so let’s schedule a meeting to discuss them in greater depth.

Want to quickly compare plans? Click HERE for a quick reference.

Medicare Key term Link