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Medicare Basics

Two Senior Women Riding Bicycles on the Beach

  • Original Medicare the traditional fee-for-service program offered directly through the federal government. Medicare began in the 1960s and it covers people who are 65 or older however certain younger people with disabilities and people with End-Stage Renal Disease will also be entitled.
  • Medicare Part A covers facility-based care such as hospital visits, emergency room services, hospice, and nursing home care. Cost-sharing applies, generally deductibles, copay & coinsurance.
  • Medicare Part B covers traditional outpatient treatments and services, including vaccinations, lab tests, preventative services, ambulance, emergency room, mental health services, outpatient operations, durable medical equipment, and most other medical services not performed in a hospital.
  • Medicare Part C (Medicare Advantage) is a type of health insurance plan that provides Medicare benefits through a private-sector health insurer. Typically, the plan also includes prescription drug coverage. Many plans also offer additional benefits, such as dental coverage or gym memberships.
  • Medicare Part D covers prescription drugs.
  • Medigap is Medicare Supplemental Insurance that helps fill “gaps” in Original Medicare and is sold by private companies.

Know Your Choices

While Original Medicare offers coverage for a wide variety of medical services, there are gaps in Original Medicare that can result in substantial out-of-pocket costs. To fill the “gap”, one can choose to combine a Medigap with a Prescription Drug Plan. Or one can choose a Medicare Advantage Plan “MAPD” these are all-in-one Medicare Plans offered by private insurance companies that have a Medicare contract and often include prescription drugs.

Contact Us Today

If you believe that Medigap or Medicare Advantage are right for you, contact us today to discuss your insurance options.

*Disclaimer: This page has not been reviewed or endorsed by Medicare.gov or any member of the Centers for Medicare & Medicaid Services (CMS).