WHAT IS MEDICARE?
Our licensed agents are here every step of the way…from filing an insurance claim, sorting through statements, resolving claims issues, to choosing a plan to fit your needs.
What is Medicare?
People tend to have many questions about what Medicare is and how it works. When you first qualify for the program or if you have a loved one who relies on it, it can seem complex and unclear at first. The answers are simpler than you might think, and you’re in the right place to see them answered.
In short, Medicare is a national health insurance program for people who are 65 years of age or older. Additionally, younger people may qualify under specific conditions. Confusion about the difference between Medicare and Medicaid is common, but these are different programs. Medicaid exists to help low-income individuals regardless of age, and it’s possible to qualify for it as well as Medicare. As of 2020, over 56 million people rely on Medicare for their health care coverage.
Medicare exists in four parts. Part A, Part B, Part C, and Part D each play a distinct part in laying down how Medicare works and the care it provides. While Medicare covers the majority of necessary medical expenses, it also includes substantial copays and deductibles. However, beneficiaries can use supplemental plans to reduce or eliminate these out of pocket expenses.
Understanding the Four Medicare Parts
When Medicare started, there was only Part A and Part B. These constitute traditional Medicare coverage, while Part C allows for the private use of Medicare benefits. The Clinton administration created this element to the Medicare program in 1997. Nine years later, the Bush administration introduced the fourth part, Part D.
What Does Medicare Part A Do?
What Forms of Care Aren’t Covered by Medicare?
While Medicare coverage is fairly expansive, there are numerous important forms of care that it does not cover. Medigap and Medicare Advantage won’t cover them either, so it’s essential that beneficiaries know that they’ll need private insurance for care including, but not limited to: