Contact Us

Medicare Basic

Medicare is a federal health insurance program designed primarily for people aged 65 and older, though it also covers certain younger individuals with disabilities and those with End-Stage Renal Disease. The program is divided into four main parts: Part A (Hospital Insurance), which covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care; Part B (Medical Insurance), which covers outpatient care, preventive services, ambulance services, and medical equipment; Part C (Medicare Advantage), which allows beneficiaries to receive their Medicare benefits through private health plans that often include additional services; and Part D (Prescription Drug Coverage), which helps cover the cost of prescription medications.

Enrollment in Medicare is typically automatic for those receiving Social Security benefits, while others may need to sign up during designated enrollment periods to avoid penalties. Each part of Medicare has its own costs, including premiums, deductibles, and coinsurance, which can add up significantly depending on the services needed. Additionally, while Medicare covers a wide range of healthcare services, it does not cover everything, such as long-term care, dental, vision, and hearing services. Therefore, beneficiaries often consider supplemental insurance options, like Medigap or Medicare Advantage plans, to help cover these gaps and manage out-of-pocket expenses more effectively. Understanding the basics of Medicare, including its parts, coverage, and costs, is essential for making informed healthcare decisions and planning for future medical needs.

Frequently Asked Questions

Exploring Medicare can be confusing. Our FAQ section is tailored to offer clarity and address your queries.

What is Medicare?

Medicare is a federal health insurance program primarily for individuals aged 65 and older, as well as for some younger people with disabilities and those with End-Stage Renal Disease.

What are the different parts of Medicare?

Medicare consists of four parts: Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage plans), and Part D (prescription drug coverage).

Who is eligible for Medicare?

Most people become eligible for Medicare when they turn 65. Others may qualify earlier due to certain disabilities or medical conditions, such as End-Stage Renal Disease.

Are there costs associated with Medicare?

Yes, while Part A is usually premium-free if you've paid Medicare taxes for a certain period, Part B has a monthly premium. There are also deductibles, copayments, and coinsurance for services.

When can I make changes to my Medicare coverage?

You can make changes during the Annual Enrollment Period (October 15 to December 7) or during special enrollment periods if you qualify due to certain life events.

What happens if I miss my Medicare Initial Enrollment Period?

If you miss your IEP, you can enroll during the General Enrollment Period (GEP) from January 1 to March 31, but you may have to pay a late enrollment penalty.

How do I enroll in Medicare?

Enrollment can be automatic for those receiving Social Security benefits at 65, or it can be done manually through the Social Security Administration website or local office.

What is the difference between Original Medicare and Medicare Advantage?

Original Medicare includes Part A and Part B and is managed by the federal government. Medicare Advantage (Part C) plans are offered by private insurers and include Part A and Part B benefits, often with additional services like vision, dental, and hearing.

What does Medicare Part D cover?

Part D provides prescription drug coverage through private plans approved by Medicare.

How do I enroll in Medicare?

Enrollment can be automatic for those receiving Social Security benefits at 65, or it can be done manually through the Social Security Administration website or local office.

What is the difference between Original Medicare and Medicare Advantage?

Original Medicare includes Part A and Part B and is managed by the federal government. Medicare Advantage (Part C) plans are offered by private insurers and include Part A and Part B benefits, often with additional services like vision, dental, and hearing.

What does Medicare Part D cover?

Part D provides prescription drug coverage through private plans approved by Medicare.

Contact Us

info@trustedbenefitsgroup.com

+1 281-930-5944

Humble, Texas 77346