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Medicare
Medicare Part A – Hospital Insurance
Helps with cost of inpatient hospital stays and skilled nursing costs
Includes hospice care
Provides limited home health benefits
Medicare Part B – Medical Insurance
Helps with the cost of medically necessary doctor visits and other medical services including: outpatient care at hospitals and clinics, laboratory tests, some diagnostic screenings, some skilled nursing care
Requires additional monthly premiums
Medicare Part C – Medical Advantage Plans
Offered by private insurance companies approved by and contracted with Medicare
Combines hospital and outpatient services into one package for Medicare beneficiaries who are entitled to Part A and enrolled in Part B
Some plans include Part D prescription drug coverage
Plans include HMOs, PPOs, and Private Fee-for-Service
Some have a monthly premium payable to the health insurance plan in addition to their Part B premium
Medicare Part D – Prescription Drug Plans
Voluntary program offered by private insurance companies that contract with Medicare to provide prescription drug coverage for an additional monthly premium
Plans vary based on price, drug formulary, and network
Medicare Supplement
Also referred to as a Medigap policy
Offered by private insurance companies to help pay Medicare Part A and B coinsurance, copayment, and/or deductibles for medically necessary procedures as determined by Original Medicare
Premiums vary between health plans for the same coverage
Standardized policies identified as Plans A through N
For more information, you may choose to visit the
Medicare website
Medicare Contact
Steven Sitton
TIS Medicare Specialist
Phone
Email