Medicare

Medicare - AdvInsCon.com - Jim Rooney

Understanding Medicare as a First Time Enrollee

Medicare benefits are ever-changing and can become quite confusing if you have never been exposed to them before. Thousands of people become eligible to enroll in the government-funded plan daily, but few know what services are covered. 

Understanding what benefits are available to you is the first step to deciding whether you should seek coverage. Until this point, you probably either had coverage under an employer’s plan, spouse’s plan, or marketplace. Now that you qualify, let’s look at what the program offers and whether it is the right choice for you.

Original Medicare – Part A and Part B

The biggest section of Medicare is made up of Part A and Part B, which together form Original Medicare. This half of the plan works in tandem to help cover beneficiaries from some of the costs relating to inpatient and outpatient care. Part A more specifically handles expenses with hospice care, inpatient hospital care, home health care services, and a limited number of days in a skilled nursing facility. Costs for outpatient hospital care, doctors’ office visits, routine screenings for diabetes, blood tests, and x-rays all fall under Part B.
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Medicare Advantage – Part C

Original Medicare does a great job of providing comprehensive coverage to policyholders. However, Part C makes it possible to receive benefits from a private insurance agency instead of the government. For some, the need to look for additional coverage beyond Part A and Part B is unnecessary, but it makes sense for others. One of the major differences between the two plans is that it is possible to receive coverage for routine care services such as dental, hearing, and vision with Part C. By selecting this option, you will still receive coverage for the inpatient and outpatient services provided under Original Medicare too.

Prescription Drug Coverage – Part D

The final section of Medicare is the Prescription Drug Coverage Plan, or Part D. Most people will need to buy medicine at some point throughout their lives. When this time comes, Part D has a plan to help with some of the costs incurred when the medicine is billed. As a stand-alone policy, you don’t need to have coverage under any other part of Medicare, but you will be responsible for paying copayments, deductibles, or coinsurance on drug costs.