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About Medicare

Find information about the Medicare program. 

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Get to know Medicare

Medicare is the federal government’s health care program. It's for people age 65 and older, and younger people with certain disabilities. Medicare also covers people of any age with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant). There are different parts of Medicare that cover different things. We’re here to help you understand them.  

You can apply for Medicare online at ssa.gov or enroll at your Social Security office. 

What are the parts of Medicare?

 

Knowing the ABCs of Medicare can help you choose the right plan for you.  

Parts A + B = Original Medicare.  

Part A covers: 

  • Inpatient care in a hospital 

  • Inpatient care in a skilled nursing facility (not custodial or long-term care)  

  • Hospice care 

  • Home health care  

Part B covers: 

  • Medically necessary doctors' services 

  • Outpatient care 

  • Home health services 

  • Durable medical equipment and other medical services  

  • Many preventive services

Part C – Medicare Advantage

Medicare Advantage plans typically offer more benefits than Original Medicare. They include Medicare Part A, Part B and may include Part D prescription drug coverage. In general, Medicare Advantage:  

 

  • Includes all Part A and Part B (Original Medicare) benefits and services 

  • Usually includes Medicare Prescription Drug Coverage (Part D) as part of the plan 

  • Is run by Medicare-approved private insurance companies, including Aetna®

  • May include extra benefits and services not covered by Original Medicare

Part D – Prescription drug plan

Part D prescription drug coverage is available on its own or as part of many Medicare Advantage plans. Part D plans: 

 

  • Are often included in Medicare Advantage (Part C) plans 

  • Cover your medicines, but not medical expenses 

  • Can be purchased to add drug coverage to Original Medicare (Parts A and B) or a Medicare Supplement Plan (Medigap)

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Part D plans have three coverage phases

  1. Deductible – This is the first phase of a Part D plan. Your deductible is the amount you must pay before Medicare or the plan begins to pay. This amount can change each year. If your plan doesn't have a deductible, then the initial coverage phase starts at once. 
  2. Initial Coverage – You pay a copay (set dollar amount) or coinsurance (percentage of the cost). Your plan covers the rest. This amount can change each year. You remain in this phase until you reach the annual out-of-pocket limit.
  3. Catastrophic Coverage – You pay $0 for your covered Part D drugs once you reach the annual out-of-pocket limit. This lasts until the end of the plan year.