WHAT IS MEDICARE?
Medicare is the federal health insurance program for:
- People who are 65 or older
- Certain younger people with disabilities
- People with end-stage renal disease (Permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)
The different parts of Medicare help cover specific services:
|Medicare Part||Type of Coverage||Description of Coverage|
|Medicare Part A (Original Medicare)||Hospital Insurance||Helps cover inpatient hospital stays, care in skilled nursing facilities, hospice care, and some home health care|
|Medicare Part B (Original Medicare)||Medical Insurance||Helps cover certain doctors' services, outpatient care, medical supplies and preventative services|
|Medigap Plan||Medicare Supplement||Insurance offered by private insurance companies designed to fill in the "gaps" in coverage left by Original Medicare (Parts A and B) like copayments, coinsurance, and deductibles.|
|Medicare Part C||Medicare Advantage Plan||An "all in one" alternative to Original Medicare, Medicare Advantage Plans are offered by private insurance companies contracted with Medicare to cover all of your Medicare Part A and B benefits, and often included additional benefits not included under Parts A and B, such as Part D Drug coverage. Medicare Advantage Plans are structured differently than Original Medicare and may be HMO's, PPO's, or Private Fee-for-Service Plans (PFFS). If you're enrolled in a Medicare Advantage Plan, your Medicare services are paid for by your Medicare Advantage Plan, not Original Medicare.|
|Medicare Part D||Prescription Drug Coverage||Private insurance companies approved by Medicare, to help cover the cost of prescription drugs.|
Summit Health Services.
Summit believes that everyone deserves high quality affordable health care coverage and we'll work to make sure that you and your family have the peace of mind that comes with it.