|What is it?
insurance program for Social Security recipients. Parts A
and B comprise the original Medicare program.
Medicare Advantage (also referred to as Part C) plans are also available in some areas. They provide managed care and fee-for-service options through private insurers.
supplement insurance issued by private companies.
Typically, individuals who have Medicare Advantage would
not need a Medigap plan.
federal-state need-based health insurance program.
Eligibility requirements and covered services vary
from state to state.
|What does it cover?
||All or some
Part A: Hospital and skilled nursing facilities, home
health agency care, hospice care, inpatient psychiatric
care, and blood transfusions.
Part B: Doctors, outpatient mental health services,
therapy, part-time skilled home health care, certain preventative services, and other
|All or some
Medical care not covered by Medicare, deductibles, co-payments, and
coinsurance; plans may also cover other services such as
eye and dental exams.
|All or some
A broad range of medical services including inpatient
and outpatient hospital care, prescription drugs, nursing
home care, and skilled care.
|Part C: All the
benefits offered by the original Medicare plan. Some
offer added benefits such as prescription drugs, eye
exams, and hearing aids.
Part D: Prescription drug coverage (optional).
|Who is eligible?
persons age 65 or older, and those with certain
disabilities or diseases are eligible for Medicare Parts
A and B.
Anyone eligible for Parts A and B is eligible for Part
C and Part D.
are enrolled in Medicare Parts A and B.
have limited income and resources and who meet other
|What is the cost?
||Part A: Most
participants don't pay for this coverage because of prior
Social Security covered employment.
Part B: $96.40 monthly premium, $135 annual
deductible; $128 daily co-pay for skilled nursing care
for days 21-100 (in 2008).
Part C: Varies by insurer, state, and plan.
Part D: Varies by insurer, state, and plan.
by company, region, and plan. There are generally 12 available
plans (A-L), each offering different levels of coverage.
Not all plans are available in every
Deductibles vary from state to state.
|What does it take to enroll?
||If you are
receiving Social Security or Railroad Retirement benefits
(or are applying for benefits) at or prior to age 65, you
will be automatically enrolled in Part A and Part B.
Contact the Social Security Administration to enroll
- You will not receive Social Security or Railroad
Retirement benefits at age 65
- You want to enroll in Medicare Part C
- You want to apply for benefits prior to age 65 due
to a covered medical condition
policy from an insurance company.
You can find information on Medigap policies offered
in your area by visiting the Medicare website or calling
procedures vary from state to state.
For information, contact the agency responsible for
administering Medicaid in your state.