Medicare Frequently Asked Questions

Medicare Frequently Asked Questions

Direct conversation Answers to 3 frequently asked questions about Medicare and Medicare supplement insurance. You do not have to be a Medicare expert or spend hours reading information and researching online to understand Medicare and Medicare Supplement options.

Q: What is the difference between the Original Medicare and Medicare Advantage (MA) plans?

A: There are several important differences between the Original Medicare and Medicare Advantage plans. Original Medicare is your government’s Medicare. Medicare Advantage is a private Medicare that replaces your government’s Medicare. You will have similar out-of-pocket expenses with an MA plan, as you would with Original Medicare alone.

It is important to understand that, in general, an MA plan has the same coverage as Original Medicare. You may receive some additional benefits, such as glasses or glasses, and some of the plans also include drug coverage, but the basic coverage will be the same as the original Medicare. You cannot get a supplemental plan to cover your direct expenses when you are enrolled in an MA plan.

Q: What are my potential expenses with my Medicare coverage?

A: Medicare itself is great coverage, but there are some coverage gaps that many beneficiaries fill with a Medicare supplement policy.

Medicare Part A covers the hospital room and plaque, qualified short-term nursing care and hospice care.

There is a deductible for part A. Currently, the deductible is $ 1132.00. This means that you will pay the first $ 1132 before paying for Medicare benefits. This is not an annual franchise. It is a deductible benefit period. A benefit period begins the day you enter the hospital and ends 60 days after your discharge. You can find the Part A franchise more than once in a year. Upon completion of the deductible, Medicare Advantage plans cover the room and 100% semi-private pension for 60 days. From day 61 to 90, it is a daily coinsurance of $ 283 per day. After 90 days, Medicare offers coverage for an additional 60 days of lifetime reserve, and you pay a daily copayment of $ 566.

Qualified nursing facilities after a stay of at least 3 days are covered by 100% Medicare within the first 20 days. Days 21 to 100 have a copayment of $ 141.50 per day.

Hospice is covered by Medicare with very limited copayments.

Deductibles and coinsurance increase from year to year.

The exposure to Medicare side A is deductible and the various coinsurance mentioned above. In addition, Medicare does not cover the first three liters of blood. Medicare Part B covers medical expenses inside and outside the hospital, such as medical appointments and outpatient and medical supplies and services. Diagnostic tests, speech and physiotherapy and durable medical equipment are part B expenses.