Medicare is a health insurance plan that is provided by the federal government for those who are 65 or older. However, some young people living with a disability, those dealing with End-Stage Renal Disease, or those who would need an organ transplant also have the option of Medicare.
Here, care comes in different plans that cater to different needs, and each plan has criteria and premiums. Let's take a look. Medicare Part A - Hospital Insurance Each Medicare plan covers different costs. This one is specifically responsible for covering hospice care, inpatient stays, and nursing care either at a nursing facility or a hospital. According to specifics, the person is covered for 90 days under inpatient hospital care after a careful and thought-out diagnosis by a professional. This cost is only covered when the admittance is into a general hospital. If the diagnosis needs psychiatry care, 190 days are covered when admitted to any eligible hospital under Part A. If there are any cases of tube feeding, wound care, or medications administered at a Skilled Nursing facility, these costs are covered too. Medicare Part B - Medical Insurance Under this Medicare part B plan, expenses related to nursing or at-home therapy can be taken care of. Other supportive care like emergency transportation or regular health check-ups and counseling to prevent illnesses can also be covered. The check-ups can be x-rays, lab tests, or even chiropractic care. Part B also usually includes coverage regarding outpatient expenses. This includes any medical services that are provided by a health professional. Suppose one needs coverage for equipment like walkers, wheelchairs, and oxygen tanks, they may do so under the Durable Medical Equipment clause. This clause is only eligible if the equipment is bought from suppliers that are Medicare-approved. Medicare Part C - Medicare Advantage Also known as Medicare Advantage Plan, this Part C is similar to the original Medicare, which is a combination of Part A and B. According to the rules, these plans are either Preferred Provider Organizations or Health Maintenance Organizations. Apart from what is covered under the original Medicare, this plan includes dental and eye health services. Those who are already enrolled in Part A and B are eligible for this plan, and then they can pay the premium for Part B. One can then enroll with this Medicare Advantage plan through a private insurer and make sure to read all the details and fine print. There are other services included, like wheelchair ramps or even shower grips for home, if needed. Meal delivery and transport services to and from a health professional's office are also covered. Medicare Part D - Prescription Medicines As the plan suggests, this part includes coverage related to medicinal expenses of the insurer. Along with an annual deductible, there is a premium and some out-of-pocket costs of the medicines purchased. If one's yearly expenses on medicines continue to increase and too much to manage, there is something called catastrophic coverage that might be beneficial. However, it is essential to check whether the medicines needed are on the medicare list and if the cost will be covered. This is called the formulary. Before signing on any insurance plan, make sure that all the details have been read thoroughly and ensure that the coverage needs the needs of your illness or health services.