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Understanding Your Medicare Options
Medicare Part A – Hospital Insurance
- Coverage: Part A helps cover inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
- Costs: Most people don’t pay a premium for Part A if they or their spouse paid Medicare taxes while working. However, there are costs like deductibles and coinsurance for services.
Medicare Part B – Medical Insurance
- Coverage: Part B helps cover certain doctors’ services, outpatient care, medical supplies, and preventive services.
- Costs: You pay a monthly premium for Part B. The standard premium amount can vary based on your income. There are also costs like deductibles and coinsurance for services.
Together, Part A and Part B make up Original Medicare, which provides a foundation of coverage for healthcare services. However, they don’t cover everything, which is why some individuals choose to add Medicare Supplement (Medigap) plans or Medicare Advantage (Part C) plans for additional coverage.
Medicare Advantage Plans, also known as “Part C” or “MA Plans,” provide an all-in-one alternative to Original Medicare. These plans are offered by private companies that are approved by Medicare. When you enroll in a Medicare Advantage Plan, you still retain your Medicare benefits. These comprehensive plans bundle together Medicare Part A (Hospital Insurance), Medicare Part B (Medical Insurance), and typically include Medicare Part D (prescription drug coverage).
Medicare Supplement plan, also known as Medigap, is additional insurance you can purchase from private insurance companies to help cover some of the costs that Original Medicare (Part A and Part B) doesn’t cover. These costs can include copayments, coinsurance, and deductibles. You pay a monthly premium for your Medigap policy in addition to the Part B premium. The cost of Medigap policies can vary depending on the plan and the insurance company. To buy a Medigap policy, you generally need to have Original Medicare (Part A and Part B). Medigap policies do not work with Medicare Advantage plans.
Medigap plans are designed to fill the “gaps” in Original Medicare coverage, providing you with more comprehensive protection against healthcare costs.
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We do not offer every plan available in your area. Currently, we represent 3 organizations which offer 18 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options. This is a proprietary website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov