Medicare Coverage
Medicare Coverage in 2023
What you should know
One of the most frequent questions we get asked is "What does Medicare Cover?" Here at My Insurance Advisor Group, we got you covered!
Medicare Resources
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Additional Services
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Patient Education
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Emergency Planning
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Our Subjects
Original Medicare
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Medicare Part A
Our resources on Medicare Part A are second to none. Get Informed.
Medicare Part B
Medicare Part B information is at your fingertips. Click to read more about it.
Medicare Part C
Supplement your Coverage further with insurance from a private provider that will cover the risks of Medicare
Medicare Part D
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Medicare Advantage
Inquire today about a Medicare Advantage Plan and see why My Insurance Advisor Group is the best.
What Medicare Doesn't Cover
- Long-Term CareServices that include medical and non-medical care provided to people who are unable to perform basic activities of daily living, like dressing or bathing. Long-term supports and services can be provided at home, in the community, in assisted living, or in nursing homes. Individuals may need long-term supports and services at any age. Medicare and most health insurance plans don’t pay for long-term care. (also called custodial care )
- Most dental care
- Eye exams (for prescription glasses)
- Dentures
- Cosmetic surgery
- Massage therapy
- Routine physical exams
- Hearing aids and exams for fitting them
- Concierge care (also called concierge medicine, retainer-based medicine, boutique medicine, platinum practice, or direct care)
- Covered items or services you get from an opt-out doctor or other provider (except in the case of an emergency or urgent need)
Medicare coverage:
Medicare Parts A and B: Medicare consists of several parts. Part A covers hospital insurance, while Part B covers medical insurance. These parts are often referred to as Original Medicare.
Medicare Advantage (Part C): Medicare Advantage plans are an alternative to Original Medicare offered by private insurance companies. These plans typically provide the same coverage as Parts A and B but may include additional benefits like prescription drug coverage, dental, vision, or hearing services.
Prescription Drug Coverage (Part D): Part D is a separate prescription drug coverage plan that helps cover the cost of prescription medications. Part D plans are offered by private insurance companies and are available to individuals with Original Medicare or Medicare Advantage plans that do not include prescription drug coverage.
Medicare Supplement Insurance (Medigap): Medigap plans are supplemental insurance policies offered by private insurers that can help cover some of the costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles. These plans can only be used in conjunction with Original Medicare and not with Medicare Advantage plans.
Preventive Services: Medicare provides coverage for many preventive services, such as screenings, vaccinations, and counseling, to help detect and prevent illnesses at an early stage.
Telehealth Services: Medicare has expanded its coverage of telehealth services, allowing beneficiaries to access virtual healthcare services from the comfort of their homes. This can be especially beneficial for individuals who have difficulty traveling or accessing in-person care.
Annual Wellness Visit: Medicare beneficiaries are entitled to an annual wellness visit, which includes a personalized prevention plan, health screenings, and a review of current medications. This visit allows for the early detection and prevention of potential health issues.
Changes to Premiums and Deductibles: Medicare premiums, deductibles, and copayments can change annually. It’s essential to stay updated on the current rates to understand your out-of-pocket costs.
Remember, specific details regarding coverage and costs can vary depending on factors such as your location, the type of Medicare plan you have, and your individual circumstances. For the most accurate and up-to-date information, it’s recommended to visit the official Medicare website (www.medicare.gov) or contact Medicare directly.
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