Medicare & You: Different Parts Of Medicare


♪ Hi, I’m Angela James at the Centers for Medicare & Medicaid Services. I’d like to tell you about the different parts of Medicare. Medicare is health insurance for people 65 or older, people under 65 with certain disabilities, and people of any age with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant). There are 4 parts of Medicare – Medicare Part A, B, C, and D. Medicare Part A, or Hospital Insurance, helps cover: Inpatient care in hospitals; Skilled nursing facility care; Hospice care; and home health care. Medicare Part B, or Medical Insurance, helps cover: Services from doctors and other health care providers; Outpatient care; Home health care; Durable medical equipment; Some preventive services Medicare Part C, or Medicare Advantage, is another way to get your Medicare coverage. Here’s what you need to know about Medicare Advantage Plans: They’re run by Medicare-approved, private insurance companies; They include all the benefits and services covered under Part A and Part B; They sometimes cover extra benefits and services for an extra cost; They usually include Medicare prescription drug coverage (Part D). Speaking of Medicare Part D, let’s take a look at some of the basics. Part D plans help cover the cost of prescription drugs; Like Medicare Advantage Plans, they’re run by Medicare-approved, private insurance companies. If you don’t join a Part D plan when you’re first eligible – and you don’t have other creditable prescription drug coverage – you may pay a late enrollment penalty if you choose to join later. Creditable drug coverage is prescription drug coverage – like from an employer or union – that’s expected to pay, on average, at least as much as Medicare’s standard prescription drug coverage. With Medicare, you choose how you get your coverage. You can choose Original Medicare, which includes Part A and Part B coverage. If you want prescription drug coverage, you must join a separate Part D plan. Or, you can choose to join a Medicare Advantage Plan, where you’ll get your Part A and Part B coverage from the Medicare Advantage Plan, not Original Medicare. The Medicare Advantage Plan may include Medicare prescription drug coverage. This is just basic information about your Medicare options. You’ll need more detailed information to make an informed choice. Before making any decisions, learn as much as you can about the types of coverage available to you. To learn more, visit: Medicare.gov

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