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Introduction to Medicare

What is Medicare?

Medicare is a health insurance program available to:

  • People age 65 and older
  • People younger than 65 with certain disabilities
  • People of any age with end-stage renal disease (permanent kidney failure)

Medicare has four parts.

Part A Hospital Insurance
hospital

Most people don’t pay a monthly premium for Part A because they or their spouse already paid for it through payroll taxes. Part A covers:

  • Hospital costs like room and board and other inpatient care in hospitals and skilled nursing facilities
  • Hospice care and some home health care
Part B Medical Insurance

Most people pay a monthly premium for Part B. Part B helps cover medical costs like:

  • Doctor visits and outpatient care
  • Some other medical services Part A doesn’t cover
Part C Medicare Advantage
companies like Health Alliance

Referred to as a Medicare Advantage plan, Part C is offered by private companies like Health Alliance that contract with Medicare and covers both Part A and Part B. With most Medicare Advantage plans, you pay a monthly premium. With some plans, Part D coverage is also included.

Part D Prescription Drug Coverage
rx

This is an optional program that helps cover your prescription drug costs. Part D is only offered by private companies like Health Alliance that contract with Medicare. To get this coverage, you can purchase a standalone Part D plan or a Medicare Advantage plan that includes Part D. Go to Prescription Coverage Basics to learn more.

Note:

You choose how to get your Medicare health insurance coverage. Different options and Medicare plans are available to you.