Medicare is a federal health insurance program that provides coverage for individuals aged 65 and older, as well as certain younger individuals with disabilities. Understanding how Medicare works and what it covers is crucial for seniors as they navigate their healthcare options. In this comprehensive guide, we will break down the various parts of Medicare, eligibility requirements, enrollment periods, and coverage options to help seniors make informed decisions about their healthcare needs.

Part A: Hospital Insurance

Medicare Part A, also known as Hospital Insurance, covers inpatient hospital care, skilled nursing facility care, hospice care, and some home healthcare services. Most individuals do not have to pay a premium for Part A, as they have paid Medicare taxes while working.Click here to know more about medical insurance plans.

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Part B: Medical Insurance

Medicare Part B, also known as Medical Insurance, covers outpatient medical services, preventive services, and medically necessary supplies. Part B coverage includes doctor visits, laboratory tests, x-rays, mental health services, and durable medical equipment. Unlike Part A, Part B requires a monthly premium, which is typically deducted from the individual's Social Security or retirement benefits.

Part C: Medicare Advantage

Medicare Part C, also known as Medicare Advantage, is an alternative to Original Medicare (Part A and Part B) offered by private insurance companies. Medicare Advantage plans combine the benefits of Part A, Part B, and sometimes Part D (prescription drug coverage) into a single plan. These plans often include additional benefits, such as dental, vision, and hearing coverage.

Part D: Prescription Drug Coverage

Medicare Part D provides prescription drug coverage to individuals with Original Medicare, as well as those enrolled in Medicare Advantage plans that do not include prescription drug coverage. Part D plans are offered by private insurance companies approved by Medicare. Seniors can choose a standalone Part D plan to complement their Original Medicare coverage.