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Medicare

This is a federal health insurance program primarily for individuals age 65 or older, younger people with disabilities, and for people with End Stage Renal Disease (permanent kidney failure). There are four parts to Medicare - Parts A, B, C and Part D. Part A is for hospital coverage. Part B is for outpatient medical coverage (like doctor office visits). Part C is a Medicare Advantage Plan, and Part D is prescription drug coverage. Medicare Advantage Plans (Part C) are accessible through private insurance companies and must offer the same benefits as Parts A and B of Original Medicare, but the rules are different along with costs and restrictions. They also include more benefits, such as vision, dental, hearing, and health/wellness plans. Another add-on value to Medicare coverage is the purchase of a Medicare supplement or “Medigap” plan that fills the “gaps” in insurance that Medicare doesn’t cover (like a deductible).

What is Medicare?

Medicare is a federal health insurance program for people 65 and older as well as people younger than 65 who have a qualifying disability. Medicare is different from Medicaid, which offers health insurance and other services to eligible low-income people of all ages.

Is Original Medicare free?

No. In addition to your monthly premiums for Part B, you are responsible for deductibles, copayments, and coinsurance.

Are prescription drugs covered?

No. If you want prescription drug coverage, you’ll need to purchase a separate Part D plan or enroll in a Medicare Advantage plan.

Are dental, vision, or hearing covered?

No. You are responsible for the full cost of these services unless you enroll in a separate plan like a Medicare Advantage plan.

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