Medicare

Senior man smiling at nurse

Originating in the 1960s, Medicare is a government-provided fee-for-service insurance program intended primarily for seniors. The program encompasses several distinct parts, each of which is outlined below.

  • Medicare Part A covers facility-based care such as hospital visits, emergency room services, hospice, and nursing home care.
  • Medicare Part B covers traditional outpatient treatments and services, including vaccinations, lab tests, mental health services, outpatient operations, durable medical equipment, and most other medical services not performed in a hospital.
  • Medicare Part C (Medicare Advantage) covers elements of Parts A, B, and sometimes D.
  • Medicare Part D covers prescription drugs.
  • Medigap comes through private insurance companies and aims to fill in the “gaps” left in traditional Medicare coverage.

Know Your Choices

While standard Medicare offers coverage for a wide variety of services, you may find that a different plan through a separate insurance carrier better fits your needs. If you are interested in an alternative plan, we can help you find coverage through either Medigap or Medicare Advantage. Both of these plans offer additional support through third-party insurers, and they are required to provide equal or better coverage when compared to regular Medicare.

For those eligible for Medicare, we can help you find the right plan by walking you through your options.  Original Medicare is comprised of two parts:  Hospital Insurance (Part A) and Medical Insurance (Part B).  A Medigap policy fills the coverage gap in Original Medicare and is provided by private insurance companies.  Medicare also offers Prescription Drug plans (Part D) separately from Original Medicare and can paired with a Medicare Supplemental plan (Medigap).    A Medicare Advantage plan (Part C) is another way to get Medicare coverage. Medicare Advantage plans are offered by private insurance companies and takes the place of Original Medicare which offer a complete package of Part A, Part B, and often times prescription drug coverage (Part D), along with some other benefits such as vision, dental, hearing, and other benefits.

If you believe that Medigap or Medicare Advantage is right for you, contact us today to discuss your insurance options.

 

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. This website is not associated, endorsed by the Social Security Administration, the Department of Health & Human Services or the Center for Medicare & Medicaid.

November 4th, 2022 by The Diamond Benefit Group