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Medicare

Medicare is a U.S. Federal program that provides health care coverage primarily for individuals aged 65 and older, as well as certain disabled individuals and those with end-stage renal disease. It consists of four parts: Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage Plans), and Part D (prescription drug coverage). Eligibility for Medicare is automatic for those who qualify, with costs varying based on the specific part of Medicare and additional premiums for certain services.

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0% found this document useful (0 votes)
5 views1 page

Medicare

Medicare is a U.S. Federal program that provides health care coverage primarily for individuals aged 65 and older, as well as certain disabled individuals and those with end-stage renal disease. It consists of four parts: Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage Plans), and Part D (prescription drug coverage). Eligibility for Medicare is automatic for those who qualify, with costs varying based on the specific part of Medicare and additional premiums for certain services.

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What is Medicare and who is eligible for MCR?

Medicare is a U.S. Federal government program which pays for certain health
care services rendered
to:
 The Persons 65 years and over.
 The Disabled (not gainfully employed for 24 months)
 Diagnosed with the permanent kidney failure Like End Stage Renal Disease
(ESRD) and who end their life soon.
 All individuals above 65 years of age are eligible for Medicare. However, a
person can get
Medicare Part A for FREE or by paying a certain PREMIUM.
PART A (HOSPITAL INSURANCE)
Part A is hospital insurance that pays the costs of a stay in a hospital or skilled
nursing facility, home
health services or hospice care.
This hospital insurance plan is financed mostly through taxes on employers and
employees. Persons
who qualify for Medicare receive Part A automatically (they don’t need to
purchase Part A)
Part B (Medical Insurance)
Part B is medical insurance that pays for doctor’s services, outpatient hospital
services, durable
medical equipment, outpatient hospital care, Physical and Occupational
therapies and other medical
services and supplies not covered by Part A.
Part B has a monthly premium, deductibles and co-payments. The beneficiary is
responsible for the copay amount unless covered by a Medicare supplemental
insurance plan.
Part C (Medicare advantage Plan)
Medicare benefits through private health insurance plans approved by
Medicare. These plans, offered by private companies, provide the same
coverage as Original Medicare (Parts A and B), and often offer additional
benefits like vision, hearing, and dental coverage Most include Medicare
prescription drug coverage (Part D). Medicare Advantage plans typically have
network restrictions, meaning you might be limited in your choice of doctors
and hospitals
A Medicare Advantage Plan (like an HMO or PPO) is another Medicare health
plan choice you may have as part of Medicare. Medicare Advantage Plans,
sometimes called “Part C” or “MA Plans,”.
Part D (Prescription drug plan)

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