Understanding Medicare Coverage

Medicare is made up of different parts, each covering specific services. Here’s a simple breakdown to help you understand your options.

Part A (Hospital Insurance)

• Covers inpatient hospital stays and skilled nursing care

• Helps pay for hospice and some home health services

• Most people qualify for $0 premium based on work history

• Provides financial protection for major medical events

• Forms the foundation of your Medicare coverage

Part B (Medical Insurance)

• Covers doctor visits, outpatient care, and preventive services

• Includes labs, screenings, and medically necessary services

• Helps pay for durable medical equipment

• Focuses on early detection and routine healthcare needs

• Requires a monthly premium based on income

Part C (Medicare Advantage)

• Combines Part A & Part B into one all-in-one plan

• Often includes extra benefits like dental, vision, and hearing

• Many plans offer $0 premiums (you still pay Part B)

• Includes built-in prescription drug coverage in most plans

• Provides cost protection with annual out-of-pocket limits

Part D (Prescription Drug Coverage)

• Helps lower the cost of prescription medications

• Available as a standalone plan or included in many Advantage plans

• Covers both brand-name and generic drugs

• Designed to protect you from rising drug costs

• Essential for managing ongoing health conditions

Medigap (Medicare Supplement)

• Helps fill the “gaps” in Original Medicare coverage

• Reduces unexpected out-of-pocket medical expenses

• Gives you the freedom to visit any Medicare-accepting provider

• Provides more predictable and stable healthcare costs

• Designed for those who want more coverage and flexibility

Not sure which option is right for you? We’re here to help.