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Medicare Explained

Medicare Explained the 4 parts

Medicare enrollment begins three months before your 65th birthday and continues for 7 months.  It straddles the month you turn 65 (3-month before and 3-month after).   If you are currently receiving Social Security benefits, you don't need to do anything. You will be automatically enrolled in Medicare Parts A and B effective the month you turn 65. If you are not receiving Social Security benefits, then you will need to sign up for Medicare by calling Online (www.ssa.gov/medicare) or make an appointment with Social Security Administration at 800-772-1213.  It is best to do it as early as possible so your coverage begins as soon as you turn 65.

 

Please give us a call for a no-cost educational overview of Medicare and your plan options.  We would love the opportunity to simplify your Medicare transition!!  Richard or Samantha Knowles  817-756-2144

Medicare Card

What is Medicare?

https://www.medicare.gov/what-medicare-covers/your-medicare-coverage-choices/whats-medicare

 

Medicare is a federal health insurance program for people 65 and older, people under 65 with certain disabilities and people of all ages with end-stage renal disease. Medicare is partly funded by payroll taxes from most employers, employees and all people who are self-employed. The Medicare program offers basic coverage to help pay for things like doctor visits, hospital stays and surgeries.

What is A-B-C-D??

MEDICARE PARTS A, B, C AND D EXPLAINED:

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  • Part A (inpatent/hospital coverage): Covers things like inpatient hospital stays, home health care and skilled nursing facility care.

  • Part B (outpatient/medical coverage): Covers things like doctor visits, outpatient services and diagnostic screenings.

  • Part C (Medicare Advantage):  Medicare Advantage plans are offered through private health insurance companies. When you join a Medicare Advantage plan, you still have Medicare. The difference is the plan covers and pays for your services instead of Original Medicare. These plans must provide the same coverage as Original Medicare and can also offer extra benefits.

  • Part D (prescription drug coverage): Only offered through private health plans.

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Your Medicare Options

Medicare Options

Part C - Medicare Advantage Plans

A type of Medicare health plan offered by a private company that contract with Medicare. Medicare Advantage Plans provide all of your Part A and Part B benefits. Medicare Advantage Plans include: must provide at least the same set of benefits offered by Original Medicare,-and may INCLUDE

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  • Health Maintenance Organizations ( HMO)

  • Preferred Provider Organizations  (PPO)

  • Private Fee-for-Service Plans (Fee for Service)

  • Special Needs Plans (SNP)

  • Medicare Medical Savings Account Plans (MSP)

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If you’re enrolled in a Medicare Advantage Plan:

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  • Most Medicare services are covered through the plan

  • Medicare services aren’t paid for by Original Medicare

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Most Medicare Advantage Plans offer prescription drug coverage.

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https://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/medicare-advantage-plans

Links

When you first enroll in Medicare and during certain times of the year, you can choose how you get your Medicare coverage. There are 2 main ways to get Medicare:

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