Medicare is the federal health insurance program for people 65 and over, some younger with disabilities and those with End Stage Renal Disease. Medicare is a different program from Medicaid, which offers healthcare and services to those who meet the qualified lower income requirements. Anyone receiving Social Security Disability (SSDI) for 24 months, will also become eligible for Medicare. When discussing some of the Medicare basics, It’s important to know that there are 4 Parts of Medicare and each part works in a unique way to help cover your healthcare expenses. What Is Medicare Part A and What Does It Cover?Medicare Part A is inpatient and hospital insurance. Part A helps cover:
What is Medicare Part B and What Does It Cover?Medicare Part B is outpatient medical insurance. Part B helps cover:
What Is Medicare Part C?Medicare Part C (Medicare Advantage) are privately managed, federally approved Medicare plans. Part C plans combine the benefits of Part A and B into one plan and may also include:
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​ What Is Medicare Part D?Medicare Part D plans provide beneficiaries with privately managed, federally approved prescription drug coverage. Medicare Part A and B do not offer prescription drug coverage, so Part D helps:
What does Medicare Pay?Medicare generally covers 80% of your Part A and Part B medical costs. You are responsible for the remaining 20%. There is no limit on what you pay out of pocket, unless you have Medicare Supplement coverage, also known as Medigap. You could also choose to get your coverage through a Medicare Advantage plan, also known as Part C. It is important to understand how each of these coverages work, when making a decision on how you would like to receive your benefits. New to Medicare with Employer Coverage?There are several factors to consider if it makes sense to keep your employer coverage alongside your Medicare or would it be better to leave the employer coverage and choose Medicare as your primary insurance. A few key questions would include: How large or small is the employer? How much is your monthly premium? Do you perfer a network based plan or would you like to have more freedom to choose any provider that accepts Medicare? When it comes to Medicare, there is no one size fits all. Knowing your situation and what you find important, provides answers that help determine which road may be more suitable for you. Need Help with your Medicare PartsWe understand that learning about Medicare can seem confusing. Especially knowing when and how to sign up for each part, to ensure you don’t miss any important deadlines. This is where our team of friendly agents can help. If you would like to understand which part you may need and how to protect yourself against unaffordable medical bills, then we welcome you to call us at the number listed below. Our services are 100% free and we are here to answer any questions. Need Medicare Help?Call 855-278-2700 or Click Get Help Now
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Medicare has made several changes to help people pay for their prescription medications. One significant change is eliminating the "donut hole." The Medicare Part D donut hole or coverage gap is a phase where you generally pay more for your drugs. Eliminating this gap is designed to make it easier for people to afford their medications. Medicare Part D Changes 2025 Several other changes are coming to Medicare Part D in 2025. This includes a lower maximum out-of-pocket limit on how much...
Original Medicare (Part A & Part B), does not cover regular eye exams or other vision costs, except in certain situations. However, people on Medicare can look into other options. They may get vision coverage through separate insurance or Medicare Advantage plans (Part C) that include vision benefits. Medicare does not cover routine eye exams. What does Medicare cover for vision? Medicare covers eye exams to check for specific medical conditions, such as: For those with diabetes Medicare...
Many people find the Annual Enrollment Period quite confusing, so we created an easy-to-follow checklist to help guide you through it. Things to know about the Annual Enrollment Period The Annual Enrollment Period (AEP) runs from October 15th to December 7th each year. It is important to keep in mind your Medicare Supplement (Medigap) policy will not be affected during this time. Medigap benefits remain the same each year. However, you can shop rates if you're looking for lower premiums....