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What You Need to Know About Medicare

Medicare premiums, deductibles, and coverage issues can be confusing, but being aware of your Medicare options and costs is vital to making the most of your coverage. Medicare is split into three areas: Part A, Part B, and Part D. In addition, there are supplementary options available. Your costs and coverage are different for each part of Medicare and may depend on the plans you choose.

Medicare Part A

Medicare Part A covers hospitalizations, skilled nursing care, and some types of home health care. There is usually no premium, or monthly fee, for Part A although there is a deductible or co-insurance cost if you receive covered services. There are also limits to the number of hospital inpatient days that Medicare will cover.

Medicare Part B

Medicare Part B includes coverage for “medically-necessary” services and some preventative services. For example, Medicare part B may cover a doctor’s appointment or tests ordered by your doctor. Most people pay a premium of about $100 each month, although low income individuals may pay less. In addition, there is a 20% co-pay for covered services, meaning that you will pay 20% of Medicare’s fee for that service. Each year, you will also pay a deductible. In 2011, the deductible is $162.

Medicare Part D

Medicare Part D covers prescription drug costs, but Medicare does not directly provide Part D services. Instead, you must select a Part D provider, often called a Prescription Drug Plan. Unless you qualify for financial assistance, you will pay a monthly premium, which varies by plan. In most plans, you will also have a deductible and co-pay. Costs will vary throughout the year due to a coverage gap. After Medicare costs reach a certain threshold, you will be responsible for all costs for your medications. If your medications costs reach a second threshold, called “catastrophic coverage,” your coverage will restart and your co-pays may be lower. Because the Prescription Drug Plans have some flexibility, it’s important to research the plans that are available in your area to determine which is the best fit for your circumstances.

Medicare Advantage Plans

Medicare Advantage Plans, which are also referred to as Medicare Part C, combine Medicare parts A, B, and D into one plan. Depending on the plan, there may be a higher premium, different coverage options, or different deductible or co-pay amounts. For some people, a Medicare Advantage Plan may offer lower costs or better services, while others may find that traditional Medicare with a separate Prescription Drug Plan is a better option.

To find out more information about Medicare options, visit Medicare.gov or learn about Medicare costs for 2011.

Miles Walker is a freelance writer and blogger who usually looks at car insurance comparison deals over at CarinsuranceComparison.Org. His most recent review looked at car insurance NJ.

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