Medicare Part A and Part B explained

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Medicare Part A & B explained
What is Medicare:
• Health Insurance for people
1. 65 and older
2. Under 65 with certain disabilities
3. Any age End-Stage Renal Disease (ESRD)
Who Runs Medicare:
• It's administered by
1. Centers for Medicare & Medicaid Services (CMS)
• But Enrollment is done by
o Social Security Administration (SSA) for most
o Railroad Retirement Board (RRB) for railroad retirees
The Four Parts of Medicare
• PART A: Hospital Insurance
• PART B: Medical Insurance
• PART C: Medicare Advantage Plans (like HMO/PPOs)
• PART D: Medicare Prescription Drug Coverage
PART A = Hospital Insurance
• Help pay for things such as a overnight hospital stay, including your room, tests, doctor fees and food
• If you paid in to Social Security for 10 years Part A comes with no monthly premium and you are automatically enrolled
• Otherwise you have sign up to get the benefits and you may have to pay a monthly premium
• You may have a penalty if not bought when first eligible

PART B = Medical Insurance
• Helps pay for doctor's visits, outpatient care, home health services, durable medical equipment and other medical services. Part B also covers many preventive services
• Most people have to sign up for Part B and it comes with a monthly premium $104.90/month
• To make it easy you are able to have it deducted from your social security check each month
Keep in mind that Medicare doesn't cover everything. If you need certain services that aren't covered under Medicare Part A or B, you will have to pay for them yourself unless:
• You have other coverage like a supplement or Medigap plan (including Medicaid) to cover the costs
• You are in a Medical Health plan that covers these services

Medicare Part A and Part B explained

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