Getting health insurance is so important. Making sure that you have the right type of health insurance is one of the best ways to save money and make sure that you have access to the medical care that you need.

Understanding Medicare

Medicare is health insurance that the US government provides. Seniors are the target audience for Medicare, though those with certain disabilities can also apply. Keeping this in mind is important, because Medicare is very specific about eligibility. 

Making sure that you’re eligible for Medicare can be both simple and complex, so it’s best to make sure that you have an insurance agent you can trust. They’ll be able to provide you with further information and make sure that you fill out paperwork correctly. Being able to rely on an insurance agent can greatly reduce your stress and provide you with peace of mind when it comes to enrollment and policy selection.

Medicare is divided up into different parts. Parts A and B are what makes up Original Medicare. Many people choose this option because they want standardized coverage. However, this option does not include prescription drug coverage.

Part D

If someone enrolled in Original Medicare wants prescription drug coverage, then they will need to enroll in Part D. This will provide them with coverage at the pharmacy, which could end up saving individuals thousands of dollars each month. Making sure that you have prescription drug coverage is one of the smartest financial decisions that many people make, so it’s important to keep in mind.

Part D is only available for those that are enrolled in Original Medicare. Medicare Advantage policies typically include prescription drug coverage, so that’s why Part D is not included for that specific type of policy.

Is Part D right for you?

Part D is an extremely important part of Medicare. Many people are relieved to have prescription drug coverage and know that their bills at the pharmacy won’t be too high. If you’re enrolled in Original Medicare and want to choose Part D as well, then speak with an insurance agent who can help you through the enrollment process.

We’re here to provide you with individualized support and make sure that you feel confident about your decisions. Call us today to book an appointment. We look forward to hearing from you and being part of your Medicare journey.

Medicare is a federal health insurance program designed to cover medical costs for citizens or legal residents that are 65 years old or older. Some people who are under 65 can also enroll in the program if they meet certain qualifications. 

Medicare consists of various parts. Part A and Part B are known as Original Medicare, while Part C is known as Medicare Advantage. There is also Medicare Part D and Medicare Supplements.

Medicare Part A

Medicare Part A, which is part of what is known as Original Medicare, provides coverage for inpatient hospital services. Beneficiaries who are admitted to a hospital based on a doctor’s order will get coverage for certain hospital costs.

Under Part A, you’ll also get coverage for skilled nursing facility care, hospice care, and some home healthcare services. For beneficiaries who have paid the necessary Medicare taxes while employed, there will also be no premium for Part A.

Medicare Part B

Part B is the second part of Original Medicare. Under Part B, Medicare beneficiaries get coverage for outpatient healthcare services such as preventive screenings, doctor visits, durable medical equipment, and more. Many Medicare enrollees enroll in Part A and Part B to get more coverage for their healthcare expenses. 

In some cases, Part B will also cover certain prescriptions, like immunosuppressants or anticancer drugs.

Medicare Advantage

Medicare Advantage is also called Medicare Part C and covers the same services as Parts A and B. It covers inpatient and outpatient procedures and services like doctor visits, preventive screenings, hospice care, medical equipment, and other medical expenses. 

Most Medicare Advantage plans also include coverage for prescription drugs and extra benefits such as routine hearing, dental, vision, and more. However, to enroll in Medicare Advantage, you must be enrolled in Original Medicare. Also, you must continue to pay your Part B premiums, though some Part C plans may not even have a premium.

Medicare Part D

Medicare Part D provides coverage for at least two drugs in each class or category. These plans are also required to cover most, if not all drugs listed in these specific categories:

  • Anticonvulsants
  • Antipsychotics
  • Anticancer
  • Antidepressants
  • Immunosuppressants
  • HIV/AIDS drugs

Medicare Supplement Plans

Medicare Supplements, also known as Medigap, help to cover the out-of-pocket expenses that Original Medicare does not cover. While each Medigap plan provides different coverage, here is a general idea of what could be covered:

  • Coinsurance
  • Copayments
  • Deductibles
  • Excess charges
  • Foreign travel emergency care
  • Blood transfusions

What Does Medicare Not Cover?

While Medicare does cover quite a bit of services, there are some services that Medicare does not cover, such as acupuncture, cosmetic procedures and medications, and long-term care. This is why it is important to understand what each part covers before you enroll.

To learn more about what each part of Medicare covers and what your options are, reach out to us today by giving us a call at 713-900-1901.

Helping individuals and families access affordable healthcare. iHealthcare offers personalized services to our clients, helping them find the best possible healthcare solutions for their needs.
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