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Top FAQs about Medicare: Understanding Your Coverage and Benefits

  1. What is Medicare? Answer: Medicare is a federal health insurance program for people 65 or older, people under 65 with certain disabilities, and people with End-Stage Renal Disease (ESRD).

  2. What are the different parts of Medicare? Answer: Medicare consists of four parts: Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage), and Part D (prescription drug coverage).

  3. How do I enroll in Medicare? Answer: You can enroll in Medicare during your Initial Enrollment Period (IEP), which starts three months before your 65th birthday and ends three months after it.

  4. What does Medicare Part A cover? Answer: Medicare Part A covers inpatient hospital care, skilled nursing facility care, hospice care, and home health care.

  5. What does Medicare Part B cover? Answer: Medicare Part B covers medically necessary services, such as doctor's visits, laboratory tests, and durable medical equipment.

  6. What is a Medicare Advantage plan? Answer: Medicare Advantage plans, also known as Part C, are managed care plans offered by private insurance companies that provide all the benefits and services covered under Original Medicare.

  7. What is a Medicare Supplement plan? Answer: Medicare Supplement plans, also known as Medigap, are insurance policies sold by private insurance companies to fill the gaps in coverage left by Original Medicare.

  8. What is the difference between Medicare Advantage and Medicare Supplement? Answer: Medicare Advantage plans replace Original Medicare and provide all the benefits and services covered under Original Medicare, while Medicare Supplement plans supplement Original Medicare and fill the gaps in coverage left by Original Medicare.

  9. What does Medicare Part D cover? Answer: Medicare Part D covers prescription drugs.

  10. Is there a monthly premium for Medicare? Answer: Yes, there is a monthly premium for Medicare Part B, and some people may also have to pay a monthly premium for Medicare Part A if they did not pay enough into the system through their payroll taxes while they were working. There may also be monthly premiums for Medicare Advantage and Medicare Supplement plans.

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