Medicare is a federal program that provides health insurance coverage to eligible individuals in the United States.  Navigating through the Medicare system can feel like an insurmountable task.  The professionals at Phoenix Star Insurance Agency are here to help guide you to the coverage that is right for you.  Contact us today to discuss your options with one of our caring and knowledgeable agents.

Understanding the Basics of Medicare

Eligibility

To be eligible for Medicare, a person must be 65 years old or older and a citizen or legal resident of the United States who has been living here for at least five consecutive years.  

Base Plans

Medicare coverage begins with the decision to be covered under Original Medicare (Medicare Part A and B) or Medicare Advantage (Medicare Part C).

Original Medicare

Part A or hospital insurance provides coverage for inpatient hospital stays, care in a skilled nursing facility, hospice care, and home health care.  Part B or medical insurance provides coverage for outpatient care including doctor visits, durable medical equipment, lab tests, and preventative service.  Together, Medicare Part A and B provide the base for the beneficiary’s basic medical coverage.

Medicare Advantage

Part C provides the same coverage as Original Medicare (Part A and B), but through a private insurance company and often with additional benefits.  Many beneficiaries are drawn to Medicare Advantage plans because these plans combine the benefits of Part A and B with other benefits such as prescription drug coverage, vision, and dental into one plan.  These plans vary depending on the type chosen.

 

Additional Plan Options
In addition to the coverage provided by Original Medicare (Part A and B), there are additional plans that can be added to the beneficiary’s Medicare coverage.

Prescription Coverage (Part D)

Original Medicare (Part A and B) does not provide coverage for medications, which can pose a significant financial burden.  Part D has a list of covered medications, so beneficiaries are able to review the list to ensure their medications will be covered prior to enrolling in the plan.

Medicare Supplement (Medigap)

Most often, Original Medicare (Part A and B) leaves the beneficiary responsible for a percentage of the medical expense, significant copays, or large deductibles.  Medicare Supplement coverage provides help paying for those additional medical costs that are not covered by Part A and B.