Medicare is made up of several different parts, and understanding how each one works is key to protecting yourself from life’s unexpected health care costs. While Medicare provides essential coverage, knowing what each part includes, and what it doesn’t, can help you make more informed decisions about your care.
The Parts of Medicare Explained
Medicare Part A
Part A helps cover inpatient hospital stays, hospice care, and limited skilled nursing services following hospitalization. Most people are automatically enrolled in Part A when they apply for Medicare. If you’ve worked and paid Medicare taxes for at least 10 years, you may qualify for premium-free Part A coverage.
Medicare Part B
Part B covers medical services received outside of the hospital, including doctor visits, preventive screenings, lab tests, ambulance services, and certain medical equipment used at home. After you pay the monthly premium, Part B typically covers 80% of approved costs, leaving you responsible for the remaining balance.
Medicare Part C (Medicare Advantage)
Medicare Advantage plans are offered by private insurance companies and combine Parts A and B into one all-in-one plan. Many Medicare Advantage plans also include additional benefits such as dental and vision coverage, hearing services, mobility aids, and non-emergency transportation.
Medicare Part D
Part D provides prescription drug coverage through private insurance providers. Costs and coverage vary by plan and location, with differences in premiums, deductibles, and copayments. Premiums are often income-based, making it important to compare options carefully.
Filling the Gaps in Coverage
Even with Medicare in place, out-of-pocket expenses like deductibles, copayments, and coinsurance can add up quickly. That’s where Medigap comes in. Medigap policies are designed to help cover many of these gaps in Original Medicare. While Medigap is not a Medicare Advantage plan, it can significantly reduce unexpected medical costs and provide added peace of mind.
Get Help Choosing the Right Plan
Navigating Medicare options can feel overwhelming, but you don’t have to do it alone. If you’re interested in learning more about your coverage options and finding the plan that best fits your needs, now is a great time to speak with an insurance professional at Health Plans of America. They make the process simple by connecting you with a licensed insurance agent who can guide you every step of the way.
Connect today to get started and feel confident in your Medicare coverage.