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Whats Medicare?

Medicare is the U.S. federal health insurance program. We work to simplify Medicare so you can confidently ​make the right choice about your insurance needs.

Medicare’s Four Parts

Most people qualify for the Federal health program called​ Medicare when they turn 65.

Part A: Hospital

If you have worked for a full ten years and paid Social Security taxes, you pay nothing.

Part A covers most medically necessary expenses when you have been admitted to the hospital. Skilled nursing facilities, home health care, and hospice care are also covered by Part A. There are expenses you are responsible for that include​ reoccurring deductibles and co-payments.

Part B: Doctors

Most people pay $164.90 per month for Part B, though it is possible that you may have to pay more than that depending on your income two years earlier.

Part B covers physician services, tests, medical supplies, and outpatient services. Like Part A, there are still reoccurring deductibles and other ​cost-sharing expenses for which you are responsible.

Part C: Medicare Advantage

Medicare Advantage plans are provided by private health insurance companies that are allowed to administer Medicare health plans. These plans come in several different forms, though HMO, PPO, PFFS, and SNPs are the most common.

If you choose this option the private insurance company is now your primary insurance, and you cannot​ use your original Medicare Parts A and B.

Part D: Prescription Drug Plans

All Prescription Drug Plans are provided by private insurance companies; they are never provided directly from the federal government. There are three phases of coverage: Initial Coverage, the "Donut Hole" or Coverage Gap, and Catastrophic Coverage.

It is important to understand how these phases can affect your out-of-pocket costs,​ especially if you have high-cost medications.

Medicare Open Enrollment

Helping our members make the most of their Medicare journey

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800 MEDICARE to get information on all of your options.

 

Not affiliated with the U. S. government or federal Medicare program.

 

Last updated: 01.05.2023 at 12:01 AM MULTIPLAN_SHDLEAWE002_M

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