MEDICARE

When you turn 65 you have to master a new health care system.
If you are still working, you may not have to enroll in Medicare Part B.

We’re here to help you every step of the way.

“What is Medicare?”

Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD).

Medicare was implemented by the federal government in 1966 and makes coverage available for more than 55 million people. While working, you pay payroll taxes which fund Medicare Part A. Medicare Part B is paid by you and is a monthly premium based upon your annual income for the prior 2 years.

Often, Medicare Parts A & B are referred to as Traditional or Original Medicare.

Four different parts of Medicare help cover specific services:

1. Medicare Part A (Hospital Insurance)
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.

2. Medicare Part B (Medical Insurance)
Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

3. Medicare Part C (Medicare Advantage Plans)
A type of Medicare health plan offered by a private insurance company which contracts with Medicare to provide you with all your Part A and Part B benefits.

Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan and aren’t paid for under Original Medicare.

Most Medicare Advantage Plans offer prescription drug coverage.

4. Medicare Part D (prescription drug coverage)
Part D adds prescription drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private-Fee-for-Service Plans, and Medicare Medical Savings Account Plans. These plans are offered by insurance companies and other private companies approved by Medicare. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare Prescription Drug Plans.