Medicare Explained

If you need Medicare explained before you decide on your healthcare, you have come to the right place. 

Educating people is our forte and foremost passion.

Here is a brief explanation of Original Medicare as well as available Medicare insurance plans.

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Original Medicare explained

Original Medicare is what we call Medicare Parts A and B.

Part A provides inpatient care coverage which is: 

  • Care you receive when admitted to the hospital as an inpatient after an official doctor’s order
  • Skilled nursing facility care 
  • Hospice care
  • Home health care

Part B is medical insurance which covers: 

  • Medically required services or supplies used to diagnose or treat medical conditions
  • Preventive services: Health care used to deter an illness or detect it at an early stage

Medicare Advantage

Also known as Part C, Medicare Advantage Plans provide all your Part A (hospital insurance) and Part B (medical insurance) benefits by being contracted with Medicare.

Each plan has an out-of-pocket maximum (something Medicare doesn’t have) and can include: 

  • Adult day-care services
  • Transportation to doctor visits
  • Wellness programs
  • Dental
  • Hearing
  • Vision
  • Fitness memberships
  • Nutrition programs
  • Over-the-counter medications coverage
  • Services and supports for those with chronic conditions

The benefits offered will depend on where you live.

Medicare Supplements

Original Medicare doesn’t cover the full costs of your healthcare treatments.

If you were to stick with Original Medicare, you are responsible for 20% of lots of services and care. 

If you have a lengthy hospital stay, you could become responsible for part of and, eventually, all of your inpatient costs.

There are ten lettered Medicare Supplement plans, all of which cover a different percentage of: 

  • Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
  • Part B coinsurance or copayment
  • Blood (first 3 pints)
  • Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance
  • Part A deductible
  • Part B deductible*
  • Part B excess charge  
  • Foreign travel exchange (up to plan limits)

*As of January 1, 2020, Medigap plans aren’t allowed to cover the Part B deductible. Thus, Plans C and F are not available to people new to Medicare starting on January 1, 2020.

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Medicare Part D

Original Medicare does not offer any coverage for prescription medications.

Part D is the only way to get help paying for prescription medicine.

You can get Part D as a standalone plan or through a Medicare Advantage plan.