Medicare

Approximately 15 percent (44 million) of the population in the United States is enrolled in Medicare. Enrollment is expected to increase to 79 million by 2030. Many wonder what exactly Medicare covers. In this article, we will explore Medicare coverage.

You have the choice of two Medicare plans: Medicare (Part A and Part B) and the Medicare Advantage Plan (Part C). You can also purchase additional supplemental coverage such as Medicare drug coverage or Medigap (Medicare supplemental insurance).

13. Medicare Part A Coverage

Hospital

With Medicare Part A, you will receive:

  • Hospital inpatient care
  • Nursing home care (this includes inpatient care at a skilled nursing facility)
  • Home health care
  • Hospice care
  • Nursing facility care

12. Medicare Part B

Ambulance

Medicare Part B covers all services and supplies needed to successfully diagnose and possibly treat a medical condition. Also, certain preventative services are covered, such as an influenza vaccination or the ability to detect diseases during the early stages. With preventative services, there is no charge if you use a health care provider who accepts the insurance.

Part B coverage includes:

  • Ambulance services
  • Limited outpatient prescription drugs
  • Mental health such as inpatient and outpatient, including partial hospitalization.
  • Clinical research
  • Durable medical equipment (DME)
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