Your Initial Enrollment Period (IEP) for Medicare begins three months before your 65th birthday and continues for three months after your birthday month, for a total of seven months. Some plans may include foreign travel emergency benefits, which Medicare does not cover. Medicare Supplement plans (sometimes also called “Medigap”) provide gap coverage for Original Medicare (Parts A and B) costs, including deductibles, coinsurance, and copayments. The amount of out-of-pocket costs can be less if you purchase Medicare Supplement insurance or enroll in a Medicare Advantage plan, depending on your specific plan. These costs can include a deductible, copayments, or coinsurance (the percentage of drug cost you will need to pay). Part D: If you have chosen to enroll in a stand-alone prescription drug plan, or drug coverage is included in your Medicare Advantage plan, your out-of-pocket costs for drugs can vary from plan to plan.Part C: If you have chosen to enroll in a Medicare Advantage plan, your out-of-pocket costs for services will vary from plan to plan.You’ll generally pay 20 percent of the cost for many services, after your Part B deductible, with Medicare generally paying 80 percent. Part B (medical insurance) has a monthly premium which is based on your income.For example, a hospital stay can be subject to a deductible and a copay. However, there are deductibles and copayments when you receive services under Part A. Part A (hospital insurance) does not have a monthly premium for most people.You may also have to pay for a portion of the health services you receive. When you are enrolled in Medicare, there are expenses you will need to pay, like your Part B monthly premium. While Part D is optional, by not purchasing a prescription drug plan when you are eligible to do so, you may have a penalty later on when enrolling in Part D. You can hold this coverage through a stand-alone Part D prescription drug plan or through a Medicare Advantage plan. Part D provides prescription drug coverage.This type of plan includes Medicare Part A and B benefits, and may also cover prescription drugs, vision, hearing, and dental benefits. Part C provides coverage to replace Original Medicare through enrollment in a Medicare Advantage plan.Part C and Part D are administered by insurance companies that contract with the federal government’s Centers for Medicare & Medicaid Services (CMS). The two more recent parts are Part C (Medicare Advantage) and Part D (prescription drug coverage). Part B, which helps cover doctor visits, lab tests and x-rays, outpatient hospital care, durable medical equipment, and some preventive care and immunizations.Part A, which helps pay for inpatient hospital care, hospice care, home health care, and care at a skilled nursing facility.What’s covered depends on which parts of Medicare you are enrolled in. Over the years, Medicare has been expanded to include prescriptions and a wide range of other services. ![]() Originally, Medicare covered hospital bills and doctor visits, but not prescription medications. While having more choices is good, it also means the program is now more complex. There are more parts to the Medicare program today than when it was created in 1965. The rules about who is eligible for Medicaid are different in each state. ![]() Some people who are eligible for Medicare also qualify for Medicaid. It is available for people 65 or older, and younger people who are disabled or on dialysis.
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