Medicare Plans
There are three main types of Medicare plans, each of which has several sub-plans.
Below, you will find a simple description of each.
Original Medicare (Parts A & B)
Also know as Medicare Parts A and B, Original Medicare is available to anyone meeting
one or more of the following conditions:
- Anyone 65 years of age or older
- Those under 65 who have certain disabilities
- Those with End-Stage Renal Disease (ESRD)
Medicare Part A
Medicare Part A is also known as hospital insurance including:
- Inpatient hospital care
- Home healthcare, skilled nursing and hospice care
Medicare Part B
Medicare Part B acts as medical insurance and covers the following:
- Doctors visits
- Medical equipment
- Outpatient care
- Home care
- Some preventative services
Medicare Advantage (Part C)
Similar to an HMO or PPO, Medicare Advantage plans are provided by government approved
private insurance companies. The government pays these companies a flat amount every
month, based on your health situation. The Medicare Advantage Plan provider must
follow rules set forth by Medicare, but much like an HMO or PPO, costs, copays and
coverage can differ.
- Emergency care
- Urgent care
- All services covered under Original Medicare except hospice, which is still covered
by Original Medicare
- Many include extra coverage for vision hearing and dental
- Most, but not all, provide prescription drug coverage
Prescription Drug Coverage (Part D)
Medicare Part D adds prescription drug coverage to Original Medicare. Plans vary
significantly based on the premiums you choose, what drugs you take and copays.
Medicare Supplemental Insurance (Medigap)
Medigap policies are designed to cover some of the healthcare costs that aren’t
covered by Original Medicare. These policies are provided by private insurance companies
but are standardized by Medicare using letters A through N. So, for example, a Medigap
Plan F provides the same benefits regardless of what company you purchase it form.
The only difference is cost.
Now you are probably wondering what plans A though N cover. The best way to find
out is to talk to a licensed professional, but the Centers for Medicare and Medicaid
services also provide this useful chart to help you understand coverage.