Medicare Plans and Coverages

Posted on Posted in Overview

Medicare is the federal health insurance program for people who are ageing 65 or older, even younger people with certain disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD). Here are some details about medicare coverages and medicare plans by various parts in a medicare policy.


Part A

The part A of Medicare plan is hospital coverage. It covers

  • Hospital services
  • Limited skilled nursing facility care
  • Hospital care
  • Limited home health service
  • Inpatient mental health service.

If you have served 10 years under Medicare covered employment then you don’t have to pay premium for part A. sometimes, if you don’t have enough work history, your spouse/wife’s work history will also do the job. Otherwise you can pay a monthly premium for it.

Part B

It is totally consist of medical services. It also covers outpatient services too.

  • Preventive services and screenings.
  • Doctor appointments, including yearly wellness exams.
  • Lab tests.
  • X-rays.
  • Certain vaccinations.
  • Ambulance services.
  • Limited home health care.
  • Outpatient mental health services.
  • Durable medical equipment, such as walkers, canes.
  • Certain prescription drugs administered to you in an outpatient setting.


But, here there is no free premium option like plan A, the amount of premium depends on various factor, like:

  • When you enrolled in Medicare Part B.
  • Whether you’re currently receiving retirement benefits or not.
  • Whether you’re billed directly for your premiums or any way other.
  • Whether you get both Medicare and Medicaid (the option varies your premium greatly).
  • Whether or not the modified adjusted gross income on your tax return from two years ago is above a certain amount.


Part C

The type of Medicare health plan offered by a private company those contracts with Medicare to provide you with all your Part A and Part B benefits. Medicare Advantage Plans contains Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan and aren’t paid for under Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage.

Part D

Part D contains prescription drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private-Fee-for-Service Plans, and Medicare Medical Savings Account Plans. These plans are offered by insurance companies and other private companies approved by Medicare. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare Prescription Drug Plans.


Leave a Reply

Your email address will not be published. Required fields are marked *