Login to make your Collection, Create Playlists and Favourite Songs

Login / Register
Everything You Ever Wanted to Know About Medicare
Everything You Ever Wanted to Know About Medicare

Everything You Ever Wanted to Know About Medicare

00:00:26
Report
This is a comprehensive post about Medicare. It covers: What is Medicare? What Are the Parts of Medicare? Detailed Explanations on the Parts of Medicare? Who Can Get Medicare and way more - please refer to the table below with links to jump directly to the part you are looking for guidance on. Kathleen Downes wrote this post. She knows a whole lot about Medicare but she does not work for Medicare. Take what's offered here as friendly advice and do your own investigation too! You can listen to Kathleen read this by clicking below, or subscribing to the podcast at the end of this post. What is Medicare? Medicare is a U.S. government-run health insurance program for qualified workers age 65+ and some people with disabilities. It is run by the federal government or the government for our whole country. The money that pays for Medicare comes from 2 trust funds held by the U.S. government (Medicare 2021). The first fund, the Hospital Insurance fund, pays for Part A costs such as inpatient hospital stays, limited home health services, and limited stays in skilled nursing facilities. I will talk more about the parts of Medicaid later (Medicare 2021). The money from the hospital insurance fund comes from: Payroll taxes Income taxes on Social Security retirement benefits Interest on trust fund investments Premiums, or monthly payments, from people who don’t get Part A for free (2021). The second trust fund is called the Supplementary Medical Insurance fund. It pays for Part B costs such as outpatient care (services that are not overnight hospital care). It also pays for Part D care (prescription medicine). The money for this fund comes from: monthly premiums interest earned on trust fund investments. Typically, everyone enrolled in Part B and/or D pays a premium (Medicare 2021).  What are the Parts of Medicare? Medicare has 4 parts, each represented by letters. Part A: Inpatient hospital care and some limited home health care, limited nursing home care Part B: Outpatient care such as doctor’s visits and some limited home health care Part C: Is also called an advantage plan (MA plan), which allows the government to contract with a private company to deliver Medicare benefits. Part D: Prescription drug coverage (Bunis 2021). You can receive Part D benefits in two ways:  A separate drug plan An MA “Part C” plan that includes drug coverage You have to have Parts A & B to join an MA plan or a separate drug plan. Not all MA plans cover prescription medications (Medicare 2021b).  What is Meant by Part C vs. Original Medicare? Original Medicare is the traditional way to receive benefits. The government pays a provider directly for services in Parts A and B (Center for Medicare Rights 2021). Most Americans use Original Medicare and most providers accept it. The other choice is to package benefits together with a Medicare Advantage Plan (MA) which is also called Part C. You can think of an MA plan (Part C) as a way to combine the parts of Medicare into one plan (Bunis 2020). Those in an advantage plan still receive the services in Part A & Part B, but may be offered additional services not covered by regular Medicare such as dental benefits (Center for Medicare Rights 2021). You can also get Part D, drug coverage, through an MA plan, or as a separate benefit (Center for Medicare Rights 2021). Not all Medicare Advantage plans cover drugs.  Most Medicare Advantage plans do have drug coverage, but you might be allowed to join a standalone drug plan if your MA plan does not cover drugs. You cannot join a standalone drug plan if your MA plan already offers prescription coverage (EHealth 2021). If you have an MA plan, you still pay a premium for Part B (and Part A if you don’t get it for free).  The MA plans have to place a limit on out-of-pocket costs for A & B (Center for Medicare Rights 2021). Every MA plan is different.

Everything You Ever Wanted to Know About Medicare

View more comments
View All Notifications