Medicare

Medicare is the public health insurance program for Americans ages 65 and older, some younger people with disabilities or end-stage renal disease, and people with permanent kidney failure who meet certain other conditions.

Medicare has four parts: Hospital insurance (Part A), Medical insurance (Part B), Medicare Advantage (Part C) Prescription drug coverage (Part D).

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

Part B covers doctor’s office visits, outpatient care like surgery and lab tests, physical therapy and other skilled nursing care.

Part C plans are sometimes called Medicare Advantage (MAPD or MA only) plans because they are designed by private insurance companies approved by Medicare to provide all of the benefits of Parts A and B as well as additional benefits like prescription drugs and vision/dental coverage. MA only plans do not include a Part D and are perfect for VA or Tricare people.

Part D is a prescription drug coverage plan that provides help to Medicare beneficiaries who qualify for Medicare. It also helps those who have limited income and resources.

What plan is right for me?

Medicare Supplement Insurance, also known as Medigap, helps cover the costs of health care that traditional Medicare doesn’t pay for. It can help you pay for things like deductibles and coinsurance.

Part D Plan is for prescriptions and usually pairs with a Medicare supplement plan. If you do not take a Part D plan when you are eligible and don’t have coverage such as VA, Tricare or creditable employer coverage you will be subject to the penalty.

Part D Penalty is the price you pay for not enrolling in a Medicare Part D plan. If you’re eligible for Medicare and don’t enroll, you’ll have to pay what’s called a Part D penalty, or late enrollment penalty, every month that you don’t have prescription drug coverage.

The penalty amount is 1% of the national average premium for all Part D plans for each month that an individual remains out of compliance with the requirement to enroll in a qualifying prescription drug plan.

If you’re still working and covered by an employer-sponsored health plan, then you can avoid paying the penalty by remaining in your current plan. However, if you are no longer employed and don’t have other health coverage options, then it’s important for you to sign up for a Medicare Part D plan as soon as possible.

Medicare Advantage (Part C) is a type of Medicare coverage. It combines health insurance with traditional Medicare benefits (parts A, B, and D) and adds additional services.

Medicare Advantage plans are offered by private companies approved by Medicare. They provide all the benefits of original Medicare (Parts A & B) plus extra benefits that are not covered by Original Medicare. These plans also give you the flexibility to see any doctor or hospital that accepts Medicare within their network.

Some plans may offer additional benefits too like dental or vision coverage!

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