A Beginner’s Guide to Medicare: Parts A–D Explained

Medicare is the national government health insurance program that covers people 65 years and older, as well as younger people with disabilities. It began in 1966, and the Centers for Medicare and Medicaid Services manages it. However, with different types available, the system might seem confusing without prior knowledge or experience. If you need to start using it, below is an explanation of each part.

Part A

With Medicare Part A, you receive coverage for hospice, hospital visits, and short-term hospital stays. You can also use it for long-term hospital stays, but that requires additional fees. If you need home health services, like at-home visits from caregivers, nurses, companions, doctors, or therapists, you can apply this type to that as well.

Part B

MedicareCovering a broader range of Part A, Medicare B is necessary for regular visits with doctors, specialized therapists, and outpatient care. It also promises help with lab tests, accessing an ambulance, and obtaining appropriate, high-quality medical equipment, such as those that you may use for physical therapy or rehabilitation.

Part C

Also known as a Medicare Advantage Plan, Part C includes everything covered by plans A, B, and sometimes D. However, a private health insurance company that the Medicare system approves will administer it, as long as it follows the same rules. It allows for more differentiation in terms of pricing and conditions, usually resulting in fewer fees for the insured individual.

Part D

Like plan C, a private health insurance agency provides the approved care for Part D. However, it covers prescriptions, rather than hospital stays and equipment. You can set up a plan that applies to the specific drugs you need, which adjusts the premiums to your area and circumstances. An insurance agent is helpful for such customization, as they know how to file the necessary paperwork and billing information.

As experts in health insurance, the Harris Insurance Agency can help you navigate the process of obtaining Medicare coverage. Located in Centerville, OH, the independent and family-owned business creates customized plans that fit your specific needs and circumstances. They’re available to help anytime, whether you missed an enrollment period or qualify for special elections. To get a quote, fill out our contact form here or call (937) 387-6672 to speak to a licensed agent.

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