Call 833-503-6863 to speak with a Care N’ Care Medicare Specialist.
Parts of Medicare
Medicare Basics
Part A of Medicare helps cover:
- Inpatient hospital care
- Skilled nursing facility care
- Home health care
- Hospice care
- Blood
Part B of Medicare helps cover:
- Doctors office visits
- Outpatient care
- Home health care
- Durable medical equipment
- Some preventive services
Additional Coverage Options
Part C of Medicare is a Medicare Advantage Plan. It covers:
- Part A
- Part B
- Sometimes part D of Medicare
Part D of Medicare Helps cover:
- Prescription Drugs
Eligible for Medicare?
You are eligible for Original Medicare (A and B) if:
You are at least 65 years old, or you are under 65 and qualify for disability.
AND
You are a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
When to Enroll?
Initial Enrollment Period (IEP) – Once you turn 65 or are eligible for Medicare. This period begins 3 months before, includes your birthday month and ends three months after the month you turn 65.
You are not required to enroll during the Initial Enrollment Period. If you are still employed when you turn 65, and you still have your employer’s coverage, you will not be subject to a late enrollment period if your coverage is considered creditable by CMS. Prescription drug (Part D) coverage must be creditable or you may be subject to a late enrollment penalty once you enroll in a plan with Part D benefits.
Annual Enrollment Period (AEP) (October 15 – December 7) – This is your opportunity each year to add, drop, or switch your current Medicare Plan.
Open Enrollment Period (OEP) (January 1 – March 31) – This is your opportunity to make one final change if you are not happy with your current Medicare Advantage plan. Effective date will be the 1st of the month following the date in which the final change was made. Moving from Original Medicare to a Medicare Advantage Plan is not allowed.
Special Election Period (SEP) – There are certain times when beneficiaries may be able to enroll in a Medicare plan outside the initial, annual and open enrollment periods.
Some examples of Special Election Periods include:
Retire and lose employer coverage
Receive assistance from the state
Recently lost creditable prescription drug coverage (coverage that was as good as Medicare)
Move outside of plan’s service area
Recently moved into, live in, or recently moved out of a Long-Term Care Facility such as a nursing home
Original Medicare as a Standalone
Part A of Medicare helps cover:
- Hospital Stays
- Inpatient Care
- Copay & Coinsurance paid by you!
- No Drug Coverage leaving you exposed to penalties
- No Maximum out of Pocket
- Doctors office visits
- Outpatient Care
Need more coverage?
You have options!
Medicare Supplement Insurance
- Helps pay some of the out-of-pocket costs that come with Original Medicare
- You pay a monthly premium
- You pay copays or coinsurance for some services
Medicare Part D Plan
- Helps pay for Prescription Drugs
- Most plans have extra premium
- Subject to deductibles on some plans
Medicare Advantage Plan
- Combines Part A (hospital insurance) and Part B (medical insurance) into one plan
- Usually includes prescription drug coverage
- May offer additional benefits not provided by Original Medicare
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