Medicare Overview

Medicare is a health insurance program for:

  • People age 65 or older
  • People under age 65 with certain disabilities
  • People of all ages with end-stage renal disease
    (permanent kidney failure requiring dialysis or a transplant)

Medicare Finder

Find a Plan: Select the right prescription drug plan for your specific medical needs. Compare and enroll today: Medicare Plan Savings Finder

Medicare has four parts:

Medicare Part A: Hospital Insurance

Helps pay for inpatient care in a hospital or skilled nursing facility (following a hospital stay), some home health care and hospice care. Most people don't have to pay a plan premium for Part A.

Medicare Part B: Medical Insurance

Medicare Part B may help pay for a portion of certain services, equipment, and supplies for qualified beneficiaries. These supplies are often called Durable Medical Equipment (DME). Most Beneficiaries pay a monthly premium for Medicare Part B.

Medicare Part C: Medicare Advantage

Provided by health insurance companies as a replacement of Part A and Part B. People with Medicare Parts A and B can choose to receive all of their health care services through one of these health plans instead of through Original Medicare. Part C plans are available in many but not all areas. Most people pay a monthly plan premium for Part C. This payment is in addition to the monthly premium paid for Part B.

Medicare Part D: Prescription Drug Coverage

Provided by private companies to help pay for outpatient prescriptions, which are not covered by Original Medicare. Part D is available to everyone with Medicare. Most people pay a monthly plan premium for Part D. Certain low-income Medicare beneficiaries, however, may not have to pay a monthly plan premium. This payment is in addition to the monthly premium paid for Part B.

Get more detailed information at Medicare.gov.

Most of the information in this resource center was obtained from government agency websites and publications, including medicare.gov. All content is provided for informational purposes only and is subject to change without notice. Although we believe that the source of this information is reliable, we do not warrant or guarantee its accuracy, completeness or timeliness.

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Did you know that the Centers for Medicare and Medicaid Services offers the following services for qualified beneficiaries?

  1. Preventive Services -If you have a new health insurance plan or insurance policy beginning on or after September 23, 2010, a number of preventive services will be covered without you having to pay a copayment, co-insurance or deductible. These services are available only when delivered by a network provider.

    There are 16 covered preventive services available for adults including blood pressure screenings, cholesterol screenings, type 2 diabetes screenings, HIV screenings and immunizations.

    To learn more, visit www.healthcare.gov and www.medicare.gov.

  2. Donut Hole Coverage -When the Medicare Part D program was first created, there was a gap in plan coverage for most beneficiaries. During this gap, beneficiaries paid 100% of their drug costs as well as the cost of their premiums. This gap, also known as the donut hole, occurs after the plan pays a certain amount before beneficiaries hit catastrophic coverage and are only are responsible for a small percentage of their drug costs, usually around 5%.

    Now times have changed. In 2011, 3.6 million Medicare beneficiaries including seniors and people with disabilities who reached the coverage gap in Medicare Part D coverage automatically received a 50% savings on covered brand-name drugs and a 7% savings on generic drugs. These seniors and people with disabilities received more than $2.1 billion in savings or an average of $604 per beneficiary.

    These savings will continue to grow over time until the donut hole is closed in 2012. To receive these savings, no special action is required. Seniors simply purchase drugs at the pharmacy and receive the savings automatically.

    To learn more, visit www.healthcare.gov and www.medicare.gov.

  3. Low Income Subsidy -If you have limited income and resources, you may qualify for additional help to pay for your Medicare drug costs. To see if you are eligible or to learn more, please call Social Security at 1-800-772-1213 (TTY users should call 1-800-325-0778) or visit socialsecurity.gov.

    Automatic qualifiers include people with Medicare who:
    A. Receive both Medicare and Medicaid.
    B. Receive both Supplemental Security Income (SSI) benefits and have Medicare.
    C. Have Medicare premiums paid by their state.

    To learn more, visit www.healthcare.gov and www.medicare.gov.