Learn About Medicare Basics

Medicare Part A Hospital Insurance

Medicare Part A Helps Cover The Following:

  • Inpatient care in hospitals (such as critical access hospitals, inpatient rehabilitation facilities, and long-term care hospitals)
  • Inpatient care in a skilled nursing facility (not custodial or long term care)
  • Hospice care services
  • Home health care services

You usually don’t pay a monthly premium for Medicare Part A coverage if you or your spouse paid Medicare taxes while working.

Medicare doesn’t cover everything. If you need certain services that Medicare doesn’t cover, you’ll have to pay out-of-pocket unless you have other insurance to cover the costs. Even if Medicare covers a service or item, you generally have to pay deductibles, coinsurance and copayments.

Medicare Part B Medical Insurance

Medicare Part B helps cover medically necessary services like doctors’ services, outpatient care, home health services and other medical services. Medicare Part B also covers some preventive services. You can find out if you have Medicare Part B by looking at your Medicare card.

You pay the Medicare Part B premium each month. Most people will pay the standard premium amount.

There are two kinds of Medicare Part B-covered services:

  1. Medically-necessary services are services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice.
  2. Preventive services include health care to prevent illness or detect it at an early stage, when treatment is most likely to work best (for example, Pap tests, flu shots, and colorectal cancer screenings).

Medicare doesn’t cover everything. If you need certain services that Medicare doesn’t cover, you must pay for them unless you have other insurance to cover the costs. Even if Medicare covers a service or item, you generally have to pay deductibles, coinsurance and copayments.

Medicare Part D Prescription Drug Insurance

Medicare offers prescription drug coverage (Medicare Part D) to everyone with Medicare. To get Medicare drug coverage, you must join a Medicare Part D plan run by an insurance company or other private company approved by Medicare. Each plan can vary in cost and the covered drugs.

There are two ways to get Medicare prescription drug coverage:

  1. Medicare Prescription Drug Plans. These plans add drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private Fee-for-Service Plans, and Medicare Medical Savings Account Plans.
  2. Medicare Advantage Plans (like an HMO or PPO) or other Medicare health plans that offer Medicare prescription drug coverage. You get all of your Medicare Parts A and B coverage, and prescription drug coverage (Part D), through these plans.

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