Policies & Qualifiers of Medicare


Eligibility

* 65 years and older

* Disabled individuals under 65

* End-Stage Renal Disease

Costs

* Based on the plan chose

* Typically pay premiums and copays

Coverage

* Inpatient hospital care

* Outpatient care

* Home health care

* Durable Medical Equipment

* Doctor visits 

* Preventative services

 


Structure

* Medicare is divided into four parts

* Parts A, B, C, and D

* Each with specific coverage levels and options

Part A

Hospital Insurance

* Inpatient hospital care

* Home health

* Nursing facilities

* Hospice care

Part B

Medical Insurance

* Doctor visits

*Diagnostic & preventive care

*Lab Tests

* Mental health care

 

Part C

Medicare Advantage

* Bundles Part A and B

* Private Insurance Option

* Dental and vision may be included

Part D

Prescription Drug Benefit

* Voluntary program

* Covers prescription drugs through Part C or private
plans