Medicare Advantage Plans and Medicare Supplemental Insurance In Bartlesville, OK, Broken Arrow, Grove, Muskogee, Oklahoma City, Tulsa, throughout Oklahoma and the Surrounding States
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MEDICARE 101
Medicare, Medicare Advantage Plans, and Medicare Supplements
Medicare is a government-run health insurance program for people over the age of 65, people receiving Social Security Disability payments, and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).
Medicare has different parts that help cover specific services:
Medicare Part A (Hospital Insurance) - Part A helps cover inpatient care in hospitals, including critical access hospitals, and skilled nursing facilities (not custodial or long-term care). It also helps cover hospice care and some home health care. Beneficiaries must meet certain conditions to get these benefits. Most people don't pay a premium for Part A because they or a spouse already paid for it through their payroll taxes while working.
Medicare Part B (Medical Insurance) - Part B helps cover doctors' services and outpatient care. It also covers some other medical services that Part A doesn't cover, such as some of the services of physical and occupational therapists, and some home health care. Part B helps pay for these covered services and supplies when they are medically necessary. Most people pay a monthly premium for Part B.
Medicare Part D (Prescription Drug Coverage) - Medicare prescription drug coverage is available to everyone with Medicare. To get Medicare prescription drug coverage, people must join a plan approved by Medicare that offers Medicare drug coverage. Most people pay a monthly premium for Part D.
To help fill the gaps in Medicare, some people purchase
a Medicare Supplement, also known as a Medigap policy. Medicare supplements pay secondary to Medicare and cover some of the out-of-pocket expenses after Medicare has paid its share.
When someone with a Medicare supplement receives medical services, they present both the red, white, and blue Medicare card and the Medicare supplement card. The provider will bill Medicare, which will pay its portion of the bill. Afterwards, the supplement will pay the portion that it is responsible for.
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