|What is it?||Federal health
insurance program for Social Security recipients. Parts A
and B comprise the original Medicare program.
Medicare Advantage (also referred to as Part C) plans are also available. They provide managed care and fee-for-service options through private insurers.
supplement insurance issued by private companies.
Typically, individuals who have Medicare Advantage would
not need a Medigap plan.
federal-state need-based health insurance program.
Eligibility requirements and covered services vary
from state to state.
|What does it cover?||All or some
Part A: Hospital and skilled nursing facilities, home
health agency care, hospice care, inpatient psychiatric
care, and blood transfusions.
Part B: Doctors, outpatient mental health services,
therapy, part-time skilled home health care, certain preventative services, and other
Part C: All the
benefits offered by the original Medicare plan. Some
offer added benefits such as prescription drugs, eye
exams, and hearing aids.
Part D: Prescription drug coverage (optional).
|All or some portion of:
Medical care not covered by Medicare, deductibles, co-payments, and
coinsurance; plans may also cover other services such as
eye and dental exams.
|All or some portion of:
A broad range of medical services including inpatient
and outpatient hospital care, prescription drugs, nursing
home care, and skilled care.
|Who is eligible?||Generally, persons age 65 or older, and those with certain disabilities or diseases are eligible for Medicare Parts A and B.
Anyone eligible for Parts A and B is eligible for Part C and Part D.
|Individuals who are enrolled in Medicare Parts A and B.||Individuals who have limited income and resources and who meet other eligibility requirements.|
|What is the cost in 2014?||Part A: Most participants don't pay for this coverage because of prior Social Security covered employment. |
Part B: Monthly premium: $104.90 (higher premiums may apply based on income); Annual deductible: $147.00.
Part C: Varies by insurer, state, and plan.
Part D: Varies by insurer, state, and plan.
by company, region, and plan. There are generally 10 available
plans, each offering different levels of coverage.
Not all plans are available in every
Deductibles vary from state to state.
|What does it take to enroll?||If you are receiving Social Security or Railroad Retirement benefits
(or are applying for benefits) at or prior to age 65, you will be automatically enrolled in Part A and Part B.
Contact the Social Security Administration to enroll if:
- You will not receive Social Security or Railroad Retirement benefits at age 65
- You want to enroll in Medicare Part C
- You want to apply for benefits prior to age 65 due to a covered medical condition
|Purchase a policy from an insurance company.
You can find information on Medigap policies offered
in your area by visiting the Medicare website or calling
|Application procedures vary from state to state.
For information, contact the agency responsible for administering Medicaid in your state.