New Possibilities
Medicare Solutions

New Possibilities
Medicare Solutions

New Possibilities
Medicare Solutions

Medicare 101

What is Medicare?

Medicare is the federal health insurance program for:

People who are 65 or older
Certain younger people with disabilities
People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)
The different parts of Medicare help cover specific services:

Medicare Part A (Hospital Insurance)
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.

Medicare Part B (Medical Insurance)
Part B covers certain doctors’ services, outpatient care, medical supplies, and preventive services.

Medicare Part D (prescription drug coverage)
Part D adds prescription drug coverage to:

Original Medicare
Some Medicare Cost Plans
Some Medicare Private-Fee-for-Service Plans
Medicare Medical Savings Account Plans
These plans are offered by insurance companies and other private companies approved by Medicare. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare Prescription Drug Plans.

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What does Medicare Cover?

Find out if your test, item or service is covered. Medicare coverage for many tests, items, and services depends on where you live. This list includes tests, items, and services (covered and non-covered) if coverage is the same no matter where you live.

Your Medicare coverage choices
Learn about the 2 main ways to get your Medicare coverage — Original Medicare or a Medicare Advantage Plan (Part C).

What Part A covers
Medicare Part A hospital insurance covers inpatient hospital care, skilled nursing facility, hospice, lab tests, surgery, home health care.

What Part B covers
Learn about what Medicare Part B (Medical Insurance) covers, including doctor and other health care providers’ services and outpatient care. Part B also covers durable medical equipment, home health care, and some preventive services.

What Medicare health plans cover
Medicare health plans include Medicare Advantage, Medical Savings Account (MSA), Medicare Cost plans, PACE, MTM

Preventive & screening services
Part B covers many preventive services.

What’s not covered by Part A & Part B
Learn about what items and services aren’t covered by Medicare Part A or Part B. You’ll have to pay for the items and services yourself unless you have other insurance. If you have a Medicare health plan, your plan may cover them.

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Get started with Medicare

1. Sign up for Medicare through Social Security

2. Choose your coverage

3. Complete your “Year 1: Medicare Checklist”

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Who is eligible for Medicare?

Who is eligible for Medicare? Generally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has two parts, Part A (Hospital Insurance) and Part B (Medicare Insurance).

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How to call Medicare?

Call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048 You can also get information on your most recent claims without having to speak to a customer service representative. Please be sure you have your Medicare number available before calling.