Navigating health insurance can feel overwhelming, with Medicare often at the top of the list. But understanding its distinct parts can make this essential program clearer and more accessible. Our insurance team at The Washwick Agency, serving Bethlehem, NH, is here to break it down for you.
Your Guide to Medicare’s Four Parts
Medicare is a federally run healthcare insurance program, typically for individuals 65 and older, although coverage is also available for some individuals under the age of 65 with certain disabilities and specific end-stage diseases. Medicare is divided into different parts to simplify coverage options and address diverse healthcare needs.
Medicare Part A and Medicare Part B
The program is divided into Medicare Part A (hospital coverage) and Medicare Part B (medical coverage), commonly referred to as Original Medicare, designed to pay for healthcare essentials. However, it doesn’t cover every healthcare service, which is where Medicare Part C and Medicare Part D come into play, as detailed below.
Medicare Part C and Medicare Part D Coverage
Routine eye exams, yearly hearing exams, dental and prescription drug coverage for seniors in and around Bethlehem, NH, do not fall under the umbrella of Original Medicare. Moreover, coverage is limited or nonexistent if you’re injured or get sick while traveling outside the United States. You’d need additional insurance coverage for healthcare services that aren’t categorized as essential care.
Medicare Part D is prescription drug coverage provided by private insurance companies. It helps cover the cost of both generic and brand-name medications. Coverage for medications may vary depending on the insurance company’s specific formulary, which outlines the drugs it covers.
Medicare Part C, also known as Medicare Advantage, is an alternative coverage to Original Medicare coverage that’s offered through private insurance companies. Unlike Original Medicare, Medicare Part C often has network restrictions. Your coverage reimbursement may be reduced if you use doctors or treatment facilities that are not part of the insurance company’s approved network. While Part C bundles the separate Medicare parts into a single policy, you should thoroughly evaluate if it meets your medical needs and budget.
Summarizing the Four Parts of Medicare Insurance
To summarize, the four parts of Medicare insurance are:
- Medicare Part A for hospital stays and inpatient care.
- Medicare Part B for doctor visits, preventative care, and outpatient services.
- Medicare Part C combines Parts A and B, and often includes vision, dental, hearing, and prescription drugs (as Medicare Advantage) through private insurers, but with in-network restrictions.
- Medicare Part D for prescription drugs through private insurers.
Get a Quote from The Washwick Agency
Ready to explore your Medicare options? Contact The Washwick Agency, serving Bethlehem, NH, at 603-288-0111 or email us for personalized advice and a customized quote. Let us help you navigate Medicare insurance to meet your unique needs.
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