Medicare Qualification
Who is eligible for Medicare?
Medicare is a health insurance program tailored for individuals who fall under the following categories:
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Those aged 65 or above.
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Certain individuals under 65 with disabilities.
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Individuals with End-Stage Renal Disease (ESRD), also known as permanent kidney failure necessitating dialysis or a transplant.
Medicare Part A
Hospital Insurance
Medicare part A assists in covering expenses related to inpatient care in hospitals or skilled nursing facilities post-hospitalization, home health care services, and hospice care services. While copayments, coinsurance, and deductibles may be applicable, typically, no monthly premium is required for Part A coverage if the individual or their spouse contributed to Medicare taxes during employment.
Medical Insurance
Part B caters to doctors' services, outpatient care, home health services, and various other medical services, including some preventive services. Similar to Part A, copayments, coinsurance, and deductibles may apply. Individuals pay a monthly premium for Part B coverage, which can be verified by checking their Medicare card. Parts A and B together are commonly referred to as "Original Medicare."
Medicare Part B
Medicare Part C
Medicare Advantage Plans
Medicare Part C, also known as Medicare Advantage Plans, is provided by private insurance companies approved by Medicare. These plans encompass Parts A and B, and often include additional coverage such as prescription drugs, vision, hearing, dental, and health and wellness programs. In addition to the Part B premium, individuals usually pay one monthly premium for the services provided.
Prescription Drug Coverage
Part D offers prescription drug coverage offered by private companies approved by Medicare. It aids in covering prescription drug costs, potentially reducing expenses, and safeguarding against future cost escalations. Part D is accessible to all Medicare beneficiaries.