What is Medicare?
Medicare is a health insurance program with several components:
Part A: Provides coverage for inpatient hospital stays, skilled nursing facilities, hospice care, and home health care.
Part B: Covers outpatient medical services, home health care, durable medical equipment, and preventive services.
Part C (Medicare Advantage): Offered by private companies, these plans include services covered by Parts A, B, and D.
Part D: Offers prescription drug coverage.
Medicare Supplement (Medigap): Additional insurance from private companies to help pay your share of costs in Original Medicare.
What is Original Medicare?
"Original Medicare" consists of Medicare Part A and Medicare Part B
Medicare Part A
Medicare Part A typically covers:
Inpatient hospital care
Skilled nursing facility services
Nursing home care (excluding custodial or long-term care)
Hospice services
Home health care
Medicare Part B
Medicare Part B provides coverage for essential outpatient services and preventive care.
Typically, Medicare Part B includes:
Outpatient medical services
Preventive care
Ambulance services
Durable Medical Equipment (DME)
Mental health care, including inpatient, outpatient, and partial hospitalization
Outpatient prescription drugs (limited)
Clinical research
Medicare Part D
Medicare Part D provides coverage for prescription medications.
Each Part D plan has a "formulary," which is a list of covered drugs. These formularies categorize drugs into various "tiers," with each tier having different price points. Generally, medications in the lower tiers are more affordable.
Medicare Part C & Medicare Supplement (Medigap)
Many beneficiaries opt for Medicare Advantage (Part C) or Medicare Supplement (Medigap) plans instead of Original Medicare. These plans often provide lower costs, greater flexibility, and extra coverages that Original Medicare does not offer.
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(727) 743-0198 (TTY: 711)
What is the difference between Medicare & Medicaid?
Medicare is a federal health insurance program for individuals aged 65 and older or those under 65 with specific disabilities or conditions.
Medicaid, managed at the state level, offers health insurance coverage and additional benefits for individuals with limited income or resources.
When can I make changes to my plan?
You can make changes to your Medicare plan during the Annual Enrollment Period, which runs from October 15 to December 7 each year. Additionally, you may qualify for Special Enrollment Periods if you experience certain life events or changes in your circumstances.
Call: (727) 743-0198 (TTY: 711)
Email: [email protected]
Disclaimer
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 46 products. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
Not affiliated with the U. S. government or federal Medicare program. This is a solicitation for insurance.