Medicare is a federal health insurance program in the United States that provides coverage to people who are 65 years or older, younger people with certain disabilities, and people with End-Stage Renal Disease (ESRD). Here are some key features of Medicare:
• Eligibility: People who are 65 years or older, younger people with certain disabilities, and people with End-Stage Renal Disease (ESRD) are eligible for Medicare.
• Coverage: Medicare has four parts - Part A, Part B, Part C, and Part D. Part A provides coverage for inpatient hospital care, skilled nursing facility care, hospice care, and home health care. Part B provides coverage for doctor's services, outpatient care, preventive services, and medical equipment. Part C, also known as Medicare Advantage, is an alternative to Original Medicare (Part A and Part B) and provides additional benefits. Part D provides prescription drug coverage.
• Costs: Medicare beneficiaries are required to pay certain costs such as premiums, deductibles, and coinsurance.
• Enrollment: People are automatically enrolled in Medicare Part A and Part B if they are receiving Social Security or Railroad Retirement Board benefits. People who are not receiving these benefits need to enroll in Medicare during the Initial Enrollment Period.
• Supplemental coverage: Some people choose to purchase supplemental insurance, also known as Medigap, to cover the costs that Medicare does not pay for.
• Providers: Medicare beneficiaries can choose to receive care from any provider who accepts Medicare.
• Prescription drug coverage: Medicare Part D provides prescription drug coverage, and beneficiaries can enroll in a Part D plan during the Annual Enrollment Period.