Original Medicare is made up of several parts
what each part covers
– Inpatient hospital stays
– Care in a skilled nursing facility
– Hospice care
– Some home health care
– No monthly premium
– Deductibles/copays (varies depending on the service)
*Example: If you were hospitalized for three days you must pay $1,316 for your Part A deductible.
Covers things like:
– Doctor visits
– Outpatient care
– Medical supplies
– Preventative services
– Mental Health services
– Ambulance services
– Laboratory tests and X-rays
– Rehabilitation services
– Home Health Care
– Monthly Premium
– Annual Deductible
– 80/20 coinsurance of Medicare approved amount
*Example: If the Doctor bill is $100, the beneficiary pays $20 or 20%.
(Also called a Medicare Advantage Plan)
– Part A
– Part B
– Many also cover part D
– Coverage is all under one plan administered by a private insurance company.
– Monthly premium varies between private insurance company
– If it covers part D, there may be a prescription Annual Deductible
– Copays for different services
(Also called Prescription Drug Plan)
*Part D Prescription Drug Plan, although part of the Medicare Program, is not offered directly through CMS – The Center for Medicare and Medicaid Services. If one wishes to enroll in Part D program, it is done through a private insurance company’s approved plan.