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Medicare and You 2007 - A Brief Look at Medicare

Medicare is health insurance for people
  • age 65 or older,
  • under age 65 with certain disabilities, and
  • any age person with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).


Most people get their Medicare health care coverage in one of two ways. Your costs vary depending on your plan, coverage, and the services you use.


Original Medicare Plan
Part A
(Hospital)
Part B
(Medical)
Medicare provides this coverage. Part B is optional. You have your choice of doctors. Your costs may be higher than in Medicare Advantage Plans.
                          +
Part D
(Prescription Drug Coverage)
You can choose this coverage. Private companies approved by Medicare run these plans. Plans cover different drugs. Medically necessary drugs must be covered.
                          +
Medigap
(Medicare Supplement Insurance)
Policy
You can choose to buy this private coverage (or an employer/union may offer similar coverage) to fill in gaps in Part A and Part B coverage. Costs vary by policy and company.
 OR 

Medicare Advantage Plans
like HMOs and PPOs

Called "Part C,"
this option combines your
Part A (Hospital)
and
Part B (Medical)

Private insurance companies approved by Meidcare provide this coverage. Generally, you must see doctors in the plan. Your costs may be lower than in the Original Medicare Plan, and you may get extra benefits.
                          +
Part D
(Prescription Drug Coverage)
Most Part C plans cover prescription drugs. If they don't, you may be able to choose this coverage. Plans cover different drugs. Medically necessary drugs must be covered.


Click below for information about

:: What is the Original Medicare Plan?
:: What Are Medicare Advantage Plans (like HMOs and PPOs)?
:: What is Medicare Prescription Drug Coverage
:: Other Medicare Plans
:: Top

(Primary Source: Centers for Medicare and Medicaid Services - Medicare and You Handbook 2007. This content may have been added upon by Q1Group LLC to include further examples, explanations, and links.)


Last updated on: 07/18/2008

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