Medigap, Medicare, Medicare Advantage Explained
If it’s like many people, it has been hard for you to comprehend your Medicare rewards. Parts, deductibles, plans, co-payments, coinsurance, Medicare supplement, HMO, PPO, MAPD, POS, language that seems to circulate. You do not need to be an expert in Medicare Advantage Plans to understand your benefits and options. The first step is to get a clear understanding of some basic Medicare concepts.
The four parts of Medicare:
Medicare consists of four parts. Each part is designated by a letter. ADVERTISING
Medicare Part A covers housing and food and some other hospitalized expenses. This may include a hospital, skilled nursing facilities and palliative care. Medicare Part A has a deductible and coinsurance for which you will be responsible. Most people do not pay a premium for Part A.
Medicare Part B is the outpatient side of Medicare. This includes medical appointments, surgical services, physiotherapy, speech therapy, durable medical equipment, home health care, outpatient exams and some medications. Part B covers 80% of the amounts approved for these expenses after the annual deductible payment. Part B requires a monthly premium. Registration is optional. In most cases, there is a late enrollment penalty that will be added to your prize if you postpone participation in Part B unless you have other credible coverage. There are limited enrollment periods each year when you can apply for Part B.
Parts A and B are known as original Medicare. It was created in 1965 with the first benefits paid in 1966 to help the elderly with medical expenses. It is a government health plan. It covers most of your medical expenses. There are coverage gaps and most older people cover all or some of the gaps with a Medicare supplement insurance plan. Thus creating a situation in which they can track and forecast their medical expenses from month to month and year to year.
If you choose to stay with original Medicare, you can use any doctor or hospital anywhere in the country as long as they accept Medicare.Medicare Part C is Medicare Advantage plan. Since 1997, older people have the option of enrolling in private Medicare insurance. The plan provider receives their Part B premium and an additional Medicare fee for each subscriber. These plans are required to cover at least Parts A and Part B. Some Medicare benefit plans include benefits that are not found in the original Medicare, such as dental coverage, glasses, and gym membership. Some of the plans include prescription drug coverage. There are several types of Medicare Advantage plans; HMO, PPO, PFFS and POS.