Debbie Kuiawa -- Helping Navigate the Confusing World of Medicare
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Last Updated: Dec 21, 2024
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Part A: This is your Hospital InsuranceMost people qualify for this and it generally has a zero premium if you or a spouse has worked for 10 years. It helps pay for inpatient hospital care, skilled nursing facility, hospice, and home health care. Part B: This is your Medical Insurance.Most people do need to get Part B and there is a premium for it, if on Social Security it will come directly out of your check. Part B helps pay for covered doctor’s services, lab work, testing’s, durable medical equipment and preventative services. It does not cover dental, the majority of vision, hearing or prescription drugs. Part C: You have two options:Option 1 - Medicare Advantage Plans: Offers medical coverage through a network of providers, such as an HMO or PPO, that is an alternative to Original Medicare (Parts A & B). They generally offer some dental, vision, hearing and can also include your prescriptions. Option 2- Medicare Supplement Plans (Medigap): It is a supplement to your Original Medicare and helps pay for expenses beyond what is covered by Medicare. They are standardized by the Federal Government and have no networks. They do not cover your prescription drugs. Part D: Prescription Drugs Helps pay for covered prescription medications. This can be included in a Medicare Advantage Plan but has to be picked up as a separate policy with a Medicare Supplement or Medigap Plan. If you do not enroll when you are first eligible you may have to pay a penalty later. |