Medicare is a health insurance program for people 65 and older, those under 65 with certain severe disabilities, and those with End Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).
Medicare Part A helps cover inpatient care in hospitals, including critical access hospitals, and skilled nursing facilities. It also helps cover hospice care and some home health care. Beneficiaries must meet certain conditions to receive these benefits.
Medicare Part B cover doctors' services and outpatient care. It also covers some other medical services that Part A doesn't cover, such as physical and occupational therapy, and some home health care. Part B helps pay for these covered services and supplies when they are medically necessary. Part B also covers medications that cannot be self-administered. Chemotherapy and several injectable/infused drugs are covered under Medicare Part B. With Medicare Part B, you can see any physician who accepts Medicare.
Also known as a Medicare Advantage plans, Part C covers Parts A, B, and D all in one plan through a private company. Advantage plans often offer a certain amount of deductible and gap coverage for Parts A, B, and/or D. They also frequently offer vision, hearing, or dental coverage. However, many Advantage plans (especially HMOs) also have more limited doctor networks than Original Medicare Parts A and B. For greater details on Medicare Advantage plans, check out this page.
Medicare Part D covers prescription drugs. Part D is considered a supplement to Original Medicare Parts A and B. So you can either have Original Medicare Parts A and B with a Part D Plan, or you can have an Advantage Plan (Part C) which combines A, B, and D through a private company contracted with Medicare.
To discover how to find the best coverage for a patient's needs, check out how to perform a plan comparison.
Did you know that your patients can sign up for additional medical insurance policy to help cover certain expenses? Click here to find out more!