Medicare Coverage Explained in Easy Terms

easy Medicare

Medicare was started in 1966 as a federal healthcare program. Citizens of the United States or legal permanent residents for more than five years, who are above the age of 65, are automatically enrolled in it. Others under the age of 65 can also be a part of Medicare under certain situations, such as:

  • Medicare-eligible disability
  • End-stage renal disease
  • Amyotrophic Lateral Sclerosis (ALS)

There are different parts of Medicare, which should be carefully considered.

Medicare Part A

Medicare Part A is freely available for many people who are above the age of 65 and have worked for a minimum of 10 years in Medicare-approved employment. For others, it is available by paying monthly premiums.

This deals primarily with hospitalized situations and includes hospice and home health care. However, hospice care is only under the doctor’s instructions and usually for people who have less than six months to live.

Medicare Part B

Unlike, Medicare Part A, this covers outpatient demands. It includes necessary services such as doctor’s visits, tests, ambulance services, medical equipment, health care, and preventative care. Many medical equipment and devices are also covered as long as they have been rented or purchased from an enrolled supplier. Medicare Part B is not free for most of the people and a premium has to be paid.

Medicare Part C or Medicare Advantage Plan

This is an alternative to Original Medicare (Part A and Part B) and is offered by private insurance companies. The plan has to offer the benefits of Original Medicare at least. In some cases, standalone prescription drugs are also included in the various benefits. This type of situations falls under the Medicare Advantage Prescription Drug Plan.

Medicare Part D

This covers prescription drugs, which are not covered by your Original Medicare. Before making a decision on what type of plan is best for you, ensure that your drug is covered under this plan. Don’t assume.

Medicare Supplement Plan

Medicare Supplement Plan or Medigap covers all other costs, such as coinsurance, copay, and deductibles. This also covers emergency overseas hospital charges.

It is important that you judiciously weigh in on your requirements and situation before going the Medicare route.

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