Your Medicare Coverage at a Glance

Original Medicare Plan or a Medicare Advantage Plan

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Step 1: Decide how you would like to receive your coverage

Medicare Requirements and Coverage

According to the Department of Health & Human Services:
A Guide to Health Insurance for People with Medicare

Medicare is a health insurance for:

  • People 65 or older
  • People under 65 with certain disabilities
  • People of any age with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant)

 

The different parts of Medicare:

Part A Hospital Insurance helps cover:

  • Inpatient care in hospitals
  • Skilled nursing facility, hospice, and home health care

Part B Medical Insurance helps cover:

  • Doctor’s and other health care provider’s services, hospital outpatient care, durable medical equipment, and home health care
  • Preventive services to help maintain your health and to keep certain illnesses from getting worse

Part C Medicare Advantage:

  • Includes all benefits and services covered under Part A and Part B
  • Run by Medicare-approved private insurance companies
  • Usually includes Medicare prescription drug coverage (Part D) as part of the plan
  • May include extra benefits and services for an extra cost

Part D Medicare Prescription Drug Coverage:

  • Helps cover the cost of outpatient prescription drugs
  • Run by Medicare-approved private insurance companies
  • May help lower your prescription drug costs and help protect against higher costs in the future

When you become eligible for Medicare?

Initial Enrollment Period (IEP)

  • Three months before you turn 65
  • The month you turn 65
  • Three months after you turn 65

If you retire after you’re 65, you can enroll for the two full months after the month your employer sponsored coverage ends.