![]() Medicare Supplement Notice: Medicare Supplement Insurance Plans are offered by Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. © Copyright 2023 Consumers Direct Insurance Servicesīlue Cross ® Blue Shield ®, and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. However, most people who get Social Security benefits pay less than this amount. The standard Part B premium amount in 2023 is $164.90 (or higher depending on your income). Medicare Part B pays 80 percent of approved charges. Fees for visiting the doctor are also included in Medicare Part B. Basically, other fees that occur outside of room and board while in the hospital- those related to diagnostic testing, preventative care, and the supplies needed to diagnose or treat medical conditions. Medicare Part B covers expenses that are medically necessary to treat or prevent a disease or condition. What Is Medicare Part B – Medical Expenses While Medicare Part A is free, there are deductibles and co-insurance that you are responsible for paying. Generally, as long as you are a permanent resident of the United States and you or a spouse paid Social Security taxes while employed, enrollment is automatic. For most people, Medicare Part A is premium-free, meaning there is no charge for coverage as long as you meet a few basic eligibility requirements. Medicare Part A is one of the basics, providing hospitalization coverage, including hospital stay, skilled nursing facility care, home health care (skilled nursing, physical therapy), and hospice care. Medicare coverage is divided into several parts, which are differentiated by letters of the alphabet. What Is Medicare Part A – Hospital Insurance If you’re approaching the age of 65 and interested in learning more about Medicare Part A and Part B, here’s some information to get you started. But if you’re not enrolled, you may not understand in detail the different parts of the program and how they work together to provide health insurance coverage. You can learn more about Medicare, including how to apply for Medicare and get a replacement Medicare card on our website.Like most seniors, there’s a good chance you’ve heard of Medicare – you may even know that it’s a federally funded health insurance program. To qualify, you must have limited income and resources. Some programs may pay for Medicare premiums and some pay Medicare deductibles and coinsurance. States offer programs for people eligible for or entitled to Medicare who have low income. If you can’t afford to pay your Medicare premiums and other medical costs, you may be able to get help from your state. They also may offer extra benefits that Original Medicare doesn’t cover - like vision, hearing, dental, and more. Part C plans may have lower out-of-pocket costs than Original Medicare. ![]() These “bundled” plans include Part A, Part B, and usually Part D. Medicare Advantage is an “all in one” alternative to Original Medicare. Medicare Advantage (also known as Part C) Examples include coverage from a Medicare Supplement Insurance (Medigap) policy, or from a former employer or union. To help pay your out-of-pocket costs in Original Medicare (like your deductible and 20% coinsurance), you can also shop for and buy supplemental coverage. If you want drug coverage, you can join a separate Part D plan. Original Medicare includes Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). When you first enroll in Medicare and during certain times of the year, you can choose how you get your Medicare coverage. The program helps with the cost of health care, but it doesn’t cover all medical expenses or the cost of most long-term care. Medicare is our country’s health insurance program for people age 65 or older and younger people receiving Social Security disability benefits. While Social Security offers retirement, disability, and survivors benefits, Medicare provides health insurance. Social Security and Medicare are both programs that are household names, but do you know the true difference? Both programs help safeguard millions of Americans as well as improve the quality of life for their family and friends.
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