Medicare Parts & How They Work

Medicare Part A (Hospital)

In general, Part A covers:

*Inpatient care in a hospital

*Skilled nursing facility care

*Nursing home care (inpatient care in a skilled nursing facility that’s not custodial or long-term care)

*Hospice care

*Home health care

Medicare Part B (Medical)

Part B covers two types of services

*Medically necessary services – services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice.

*Preventive services – health care to prevent illness (like the flu and hopefully COVID-19 soon) or detect it at an early stage, when treatment is most likely to work best.

 

Medicare Part D (Prescription)

Medicare prescription drug coverage is an optional benefit offered to everyone who has Medicare.  To get Medicare drug coverage, you must join a Medicare plan that offers prescription drug coverage.  Each plan can vary in cost and the drugs covered.

There are two ways to obtain prescription drug coverage:

*Medicare Prescription Drug Plan (Part D)

*Medicare Advantage Plan (Part C) like an HMO or PPO

Medicare Advantage Plans

Medicare Advantage (also known as Medicare Part C) is an alternative to Original Medicare. These bundled plans include Part A, Part B, and usually Part D. They also may offer extra benefits Original Medicare doesn’t cover.