Understanding Original Medicare: A Comprehensive Guide
01 Oct 2023 ∙ 1 min read
Quick Overview
Dive deep into Original Medicare - what it covers, its parts, and how it contrasts with options like Medicare Advantage Plans. Empower yourself with the right knowledge to make informed Medicare decisions.
What is Original Medicare?
Original Medicare is the traditional federal health insurance program catering mainly to seniors aged 65 and above. It consists of Part A (Hospital Insurance) and Part B (Medical Insurance). While Part A covers inpatient hospital stays, skilled nursing facilities, and some home health care, Part B covers outpatient care, doctors' services, and preventive services.
Original Medicare vs. Medicare Advantage
Unlike Medicare Advantage Plans, often referred to as Part C Medicare, Original Medicare is managed by the federal government. While both offer the same Part A and Part B benefits, Medicare Advantage often provides additional benefits like vision, dental, and even Part D Medicare (prescription drug) coverage. Plans like HMO, PPO, PFFS, and POS fall under Medicare Advantage, each with its unique set of rules.
Benefits of Seeking Expert Help
Understanding the intricacies of Medicare can be challenging. By partnering with private insurance companies like Aetna, United Healthcare, Cigna, and others, we aim to simplify this journey for you. Experts can help you navigate your options, ensuring you get the coverage you need without overpaying.
Original Medicare Eligibility
Medicare Eligibility primarily revolves around age, with most qualifying at 65. However, those under 65 might qualify if they have certain disabilities or conditions. It's crucial to check your eligibility and enrollment periods to avoid late-enrollment penalties.
Supplemental Insurance with Original Medicare
Even with Original Medicare, there might be out-of-pocket costs that can be burdensome. Here's where Supplemental Insurance, or Medigap, comes into play. These policies, sold by private companies, help pay some of the healthcare costs that Original Medicare doesn't cover.