What services does Medicare cover??

Medicare Part A and Part B cover certain medical services and supplies in hospitals, doctors’ offices, and other health care settings. Prescription drug coverage is provided through Medicare Part D.

Solving the Mysteries of Medicare

Lesson 1: Original Medicare

Original Medicare

There are 2 different ways to get your Medicare coverage. Original Medicare and Medicare Advantage. 

Original Medicare
• Original Medicare includes Medicare Part A (Hospital Insurance) and Part B (Medical Insurance).

• If you want drug coverage, you can join a separate Part D plan.

• To help pay your out-of-pocket costs in Original Medicare (like your deductible and 20% coinsurance), you can also shop for and buy supplemental coverage.

Doctor and hospital choice

  • You can go to any doctor that accepts Medicare.
  • In most cases you don’t need a referral to see a specialist.

Cost

  • For Part B-covered services, you usually pay 20% of the Medicare approved amount after you meet your deductible.
  • You pay a premium (monthly payment) for Part B. If you choose to buy prescription drug coverage, you’ll pay that premium separately.
  • There’s no yearly limit on what you pay out-of-pocket.
  • You can buy supplemental coverage to help pay your out-of-pocket costs
    (like your deductible and 20% coinsurance).

Coverage 

  • Original Medicare covers medical services and supplies in hospitals,
    doctors’ offices, and other health care settings.
  • You can join a separate Medicare Prescription Drug Plan to get drug coverage.
  • In most cases, you don’t have to get a service or supply approved ahead of time for it to be covered.

Travel 

  • Original Medicare generally doesn’t cover care outside the U.S. You may be able to buy supplemental coverage that covers care outside the U.S.
This website uses cookies and third party services. Ok