SS_Medicare_flipbook_2017 - page 17

Medicare Coverage Options
Part C
Medicare Advantage
These private plans provide
benefits and services covered
under Parts A and B and may
offer additional coverage such
as vision, hearing, dental,
and/or health and wellness
programs. Part C plans often
include prescription drug
coverage. There is usually a
monthly premium in addition
to the Part B premium,
as well as copayments or
coinsurance for covered
services.
Part D
Prescription Drug Coverage
These plans help cover the
cost of prescription drugs.
Participants in Original
Medicare Parts A and B —
and those enrolled in Medigap
or a Part C plan that does
not offer prescription drug
benefits — can purchase
prescription drug coverage for
an additional premium.
In 2015, Medicare covered 46.3 million people
age 65 and older and 9.0 million disabled
individuals.
Source: Boards of Trustees of the Federal Hospital Insurance and
Federal Supplementary Medical Insurance Trust Funds, 2016
Part A
Hospital
Insurance
Helps cover inpatient care in
a hospital (but not physicians’
fees), a limited amount of
post-hospital care in a skilled
nursing facility, hospice care,
and some home health
care. The annual deductible
($1,316 in 2017) covers
hospital stays up to 60 days,
after which there are daily
copayments for days 61
to 150.
Part B
Medical Insurance
Helps cover physicians’
services, inpatient and
outpatient medical services,
outpatient hospital care,
and diagnostic tests.
There are some fairly stiff
deductibles, copayments,
and limitations. Copays are
generally 20% of Medicare-
approved amounts.
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