Whether you are a new Medicare recipient or a senior who has been using this program for years, one thing older adults often have in common is a lack of understanding about Medicare. From Medicare part A to Medicare part D, the benefits can be tough to navigate. Seniors often wonder what all those letters mean.
Here’s a quick overview with resources to help you learn more.
What is Covered by Medicare Part A?
Medicare Part A is sometimes referred to as the “hospital benefit.” Hospital stays account for a large portion of Medicare Part A, but it also helps pay for the following:
You can review your hospital coverage in more detail by visiting the official Medicare website.
Understanding Medicare Part B
Medicare Part B is designed to cover two primary types of care:
Services and supplies covered under Medicare Part B can include the following:
Medicare Part C: Medicare Advantage Plans
Private insurance companies can contract with Medicare to provide health care services to seniors. These are called Medicare Advantage plans. Your care will still fall under the umbrella of Medicare, entitling you to the same rights and protections as a senior enrolled in traditional Medicare.
You will be required to follow the plan’s rules, such as getting pre-authorization for some procedures or going to physicians that are part of the plan. Seniors who are considering a Medicare Advantage plan should make sure their preferred providers are part of the plan.
Older adults often find Medicare Advantage plans to have lower out-of-pocket costs, making them a budget-friendly solution. Many even include prescription drugs in the plan. One example is Sunrise Advantage Plan, currently offered to seniors in parts of Illinois, New York, Pennsylvania, and Virginia.
Medicare Part D: Prescription Drug Coverage
If you opt for traditional Medicare instead of a Medicare Advantage plan, you can still sign up for prescription drug coverage. This falls under Medicare Part D. In most cases, you need to sign up for drug coverage at the time you enroll in Medicare or you will pay a penalty.
You can use the Medicare Plan Finder to investigate drug coverage options near you.
See Your Doctor Once Each Year
One Medicare benefit that many seniors may be unaware of is the annual wellness visit. You can read “What is the Medicare wellness visit, and how much does it cost?” to learn more.