• Korene Senior

What does MEDICARE really cover?!

Many people still believe that Medicare or private health insurance will cover long term care services if they need them; but, apart from brief stays in nursing homes following a hospital stay, MEDICARE DOES NOT PAY FOR LONG TERM CARE! Medicaid may pay for Long Term Care if the patient is medically and financially qualified.

MC Part A:

Referred to as hospital insurance. Part A generally covers inpatient hospital stays, skilled nursing care, hospice care, and limited home health-care services. You typically pay a deductible and coinsurance and/or copayments.

MC Part B:

Referred to as medical insurance. Part B covers Clinical research, Ambulance services, Durable medical equipment (DME) - Mental health - Inpatient & Outpatient Doctor Services - Partial hospitalization - Limited outpatient prescription drugs

MC Part C:

A Medicare Advantage Plan (like an HMO or PPO) is another Medicare health plan choice you may have as part of Medicare. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, the plan will provide all of your Part A (Hospital Insurance) and Part B (Medical Insurance) coverage. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Most include Medicare prescription drug coverage (Part D).

MC Part D:

Most Medicare drug plans (Medicare Prescription Drug Plans and Medicare Advantage Plans with prescription drug coverage) have their own list of what drugs are covered, called a formulary. These plans include both brand-name prescription drugs and generic drug coverage.

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