What is
Medicare?

Medicare is a federal health insurance program that provides diverse coverage and vast options that makes it exactly the health plan you need it to be. With rising medical costs, you’ll need a plan that protects you so that you can live longer without sacrificing hard-earned income.

Medicare could be the health plan you need!

How does it work?

How your coverage works depends on the plan. Medicare is divided into four Parts:

  • Part A – inpatient
  • Part B – outpatient
  • Part C – inpatient and outpatient (some plans include drug coverage)
  • Part D – prescriptions

Part A offers full hospital coverage for the first 60 days. For longer stays, you’ll pay $371 in coinsurance per day from days 61-90, $742 daily from days 91-150, and all costs afterward. Its coverage also applies to hospice.

Part B pays 80% of your bill and leaves the remaining 20% up to you. This includes preventive treatments and durable medical equipment.

Parc C coverage varies due to differences between insurers and types of Medicare Advantage Plans. You’ll also get coverage for items that traditional Medicare plans don’t cover, such as dental, vision, and hearing.

Part D also varies. The amount depends on the medication and the tier it falls under. Generic medications are the cheapest.

What are the costs?

Your coverage starts when you meet your deductible. The deductibles are:

  • Part A – $1,484 per benefit period
  • Part B – $203 annually
  • Part C – varies based on policy
  • Part D – varies, but US law states that no Part D deductible can exceed $445

Benefit periods begin the day you’re admitted as an inpatient, and end after 60 consecutive days without inpatient treatment.

You must pay these monthly premiums to retain coverage:

  • Part A – $259 to $471 (if ineligible for premium-free version)
  • Part B – $148.50
  • Part C – varies
  • Part D – varies

Premium-free Part A is available you:
Enroll during the Initial Enrollment Period, and
Have worked in the US for at least 40 tax quarters

Each plan has its own copayment, and the amount is determined ahead of time.

When can I get it?

For automatic enrollment:

  • Three months before you turn 65 if you receive benefits through Social Security or the Railroad Retirement Board
  • After 24 consecutive months of receiving disability benefits (you can be under 65)

If you do not get Social Security benefits, you’ll need to enroll on your own during these times:

  • Initial Enrollment Period – three months before turning 65 to three months after
  • General Enrollment Period – January 1 to March 31

If you want Medicare Advantage and/or Part D, and didn’t enroll during the Initial Enrollment Period, you’ll need to join during the Annual Enrollment Period, which lasts from October 15 to December 7. This requires having Original Medicare (Part A and B) first.

Make the most out of your coverage today!

You are already on your way to getting one of the best health insurance plans the market has to offer. At Health Care Solutions, we give top-notch service to help you get the best plan. We take the stress out of medical billing by providing our expertise with honesty and diligence.

Get a quote from Healthcare Solutions today