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Medicare Health Insurance

The Basics of Medicare

To choose the right coverage, first you need to know the basic parts about Medicare. 


Part A - This  covers your hospital and nursing care.  The federal government provides Part A, and most people don't pay a monthly premium.  If you're admitted to a hospital, there's a deductible and some further cost sharing that you pay.


Part B - This covers your doctor’s care when you’re sick or have a medical condition.  The federal government provides Part B, but you will be obligated to pay a monthly premium.  Part B also has a deductible and some cost sharing that you pay when visiting the doctor as well.


  • Part A and B (also known as Original Medicare) covers 80% of your Medicare health insurance.  However, don't forget about the Part B premium, deductibles, and further cost sharing that you will have to pay out-of-pocket.  Not to worry though, because that's where Medicare supplement insurance comes into play.  We'll dive into that in just a second.


Part D - This covers your prescription drugs and is a great addition to pair with the Medicare supplement insurance.  You probably won’t need it if you get Medicare Advantage since most Medicare Advantage plans come with this.  


Part C - Also known as Medicare Advantage plan.  This combines your Part A and B (and in most cases Part D), including extra benefits such as dental coverage, vision care, gym memberships, transportation, AND a lot of them have a $0 monthly premium as well!  However, you will still be obligated to pay the Part B premium every month.


  • Most Medicare Advantage plans have co-pays for treatment and have a yearly limit out-of-pocket cost you will have to pay. Once you reach that amount, you won’t pay for anymore of your Medicare, your plan will cover it. Different plans will have different maximums.


Medigap Policy - Also known as Medicare Supplement Insurance.  This is a private health insurance policy that helps supplement Original Medicare.  This means it helps pay some of the health care costs that Original Medicare doesn't cover (like co-payments, coinsurance, and deductibles).  These are "gaps" in Medicare coverage, and most monthly premiums for these policies will vary depending on your plan, gender, age, and zip code. 

RESOURCES

Medicare

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Centers For Medicare & Medicaid

Centers For Medicare & Medicaid Services.

Dept. of Health & Human Services

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We Provide It All!

 We've come to know the details you need to help pick a Medicare solution that works best for your health - and your wallet. Whether you're new to Medicare or you want to know more about our Medicare solutions, we're here to help. 

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