By recei - Original Medicare includes Part A(Hospital Insurance) and Part B(Medical Insurance).
- Part A (Hospital Insurance)
- Part A helps cover inpatient care in hospitals, skilled nursing facility care, hospice care, and home health care.
- Part B (Medical Insurance)
- Part B helps cover: Services from doctors and other health care providers, Outpatient care, Home health care, Durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment)
- Many preventive services (like screenings, shots or vaccines, and yearly “Wellness” visits)
- Part C (Medicare Advantage Plan)
- It is a Medicare-approved plan offered by private insurance company that offers customized benefit of the plan that may include Part A, Part B, and Part D benefits.
- Plans often have different out-of-pocket costs than Original Medicare or supplemental coverage like Medigap. You may also have an additional premium.
- Part D (Drug coverage)
- Part D helps cover the cost of prescription drugs. You join a Medicare drug plan in addition to Original Medicare, or you get it by joining a Medicare Advantage Plan with drug coverage.it is generally run by private insurance companies that follow rules set by Medicare.
Medigap Plan
- (it is also known as Medicare Supplement Insurance) is a private insurance plan that helps cover some of the out-of-pocket costs not covered by Original Medicare (Part A and Part B). it fills the “gaps” in Medicare, such as deductibles, copayments, and coinsurance. and in most states named by letters, like Plan G or Plan K. You must have Original Medicare (Part A and Part B) to purchase a Medigap plan.
Medicare Part A coverage:
Inpatient hospitals, Hospice, Skilled nursing facilities, Inpatient rehabilitation,
Some home health care services.
Medicare Part B coverage:
Medicare Part B covers physicians’ services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.
Note: Each year, the Medicare Part B premium, coinsurance, and deductible rates are determined according to provisions of the Social Security Act. The annual deductible for all Medicare Part B beneficiaries will be $257 in 2025, an increase of $17 from the annual deductible of $240 in 2024 as per CMS website.
Also read: Underpayment
CMS –Centers for Medicare & Medicaid Services
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Medicare
- Medicare is a very popular term in the USA, as it is federal health insurance for anyone age 65 and older, and some people under 65 with certain disabilities.
- Original Medicare includes Part A(Hospital Insurance) and Part B(Medical Insurance).
- Part A (Hospital Insurance)
- Part A helps cover inpatient care in hospitals, skilled nursing facility care, hospice care, and home health care.
- Part B (Medical Insurance)
- Part B helps cover: Services from doctors and other health care providers, Outpatient care, Home health care, Durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment)
- Many preventive services (like screenings, shots or vaccines, and yearly “Wellness” visits)
- Part C (Medicare Advantage Plan)
- It is a Medicare-approved plan offered by private insurance company that offers customized benefit of the plan that may include Part A, Part B, and Part D benefits.
- Plans often have different out-of-pocket costs than Original Medicare or supplemental coverage like Medigap. You may also have an additional premium.
- Part D (Drug coverage)
- Part D helps cover the cost of prescription drugs. You join a Medicare drug plan in addition to Original Medicare, or you get it by joining a Medicare Advantage Plan with drug coverage.it is generally run by private insurance companies that follow rules set by Medicare.
Medigap Plan
- (it is also known as Medicare Supplement Insurance) is a private insurance plan that helps cover some of the out-of-pocket costs not covered by Original Medicare (Part A and Part B). it fills the “gaps” in Medicare, such as deductibles, copayments, and coinsurance. and in most states named by letters, like Plan G or Plan K. You must have Original Medicare (Part A and Part B) to purchase a Medigap plan.
Medicare Part A coverage:
Inpatient hospitals, Hospice, Skilled nursing facilities, Inpatient rehabilitation,
Some home health care services.
Medicare Part B coverage:
Medicare Part B covers physicians’ services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.
Note: Each year, the Medicare Part B premium, coinsurance, and deductible rates are determined according to provisions of the Social Security Act. The annual deductible for all Medicare Part B beneficiaries will be $257 in 2025, an increase of $17 from the annual deductible of $240 in 2024 as per CMS website.
Also read: Underpayment
CMS –Centers for Medicare & Medicaid Services