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What Types Of Medicare Coverage Are There?

What Types Of Medicare Coverage Are There?

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Written by: Benavest

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Medicare

May 18, 2021

What Types Of Medicare Coverage Are There?

Medicare is divided into multiple parts that provide coverage. 

 

Part A: provides inpatient and hospital coverage

Part B: provides outpatient and medical coverage

Part C: Also known as Medicare Advantage. These plans are offered by private companies and provide the same coverage as Medicare parts A and B and sometimes offer more.

Part D: provides prescription drug coverage

 

Medicare Part A

Medicare part A covers the cost of inpatient and hospital care. Most of the time Medicare is free but there is a deductible in 2021. Medicare part A covers:

  • Surgeries
  • Inpatient care in hospitals
  • Skilled nursing facilities
  • Hospice care
  • Home healthcare services
  • Inpatient care in religious non-medical healthcare institutions

 

Medicare Part B

Medicare Part B is an optional addition that requires a monthly premium payment. Part B covers:

  • Doctor’s visits
  • Medical equipment
  • Outpatient care
  • Outpatient procedures
  • Purchase of blood
  • Mammograms
  • Cardiac rehabilitation
  • Cancer treatment

 

Medicare Part C

Medicare Part C, also known as Medicare Advantage are plans offered by private companies and approved by Medicare. These plans provide the same coverage as plans A and B and many provide extra benefits.

 

Medicare Part D

Medicare Part D covers the costs of prescription drugs. These plans are offered by private insurance companies and approved by Medicare. 

  • Many Part D plans divide their drugs into different tiers. Most of the time lower-tier drugs will cost you less than higher-tier drugs.
    • Tier 1 – copay: most generic prescription drugs
    • Tier 2 – medium copay: preferred, brand-name prescription drugs
    • Tier 3 – higher copay: non-preferred, brand-name prescription drugs
    • Specialty tier – highest copay: very high-cost prescription drugs
  • Generic Drugs are copies of brand name drugs and are the same as brand-name drugs in the following ways:
    • Dosage form
    • Safety
    • Strength
    • Route of administration
    • Quality
    • Performance
    • Intended use
  • Most Part D coverage plans will have their own drug formulary for the prescription drugs they cover

Get A FREE Quote Now!

If you qualify for the Medicare Savings Program, Medicaid, or LIS, better plan options may open up so it is imperative to get a Medicare Plan Review done to make sure you are receiving the best healthcare benefits available.

New health plans may open up with better benefits including more coverage for things like dental & vision, better copay’s, lower deductibles, free meal delivery, and Much More!!

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