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Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD). There are 2 main ways to get your Medicare coverage:

Original Medicare (Part A and Part B)
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services. Original Medicare pays for roughly 80% of covered healthcare expenses, and does not include prescription drug coverage. Some people electing to be covered by original Medicare get additional coverage, like Medicare prescription drug coverage or Medicare Supplement Insurance (Medigap). Under Medigap plans, there are a number of different options on how much and what parts of Medicare covered expenses are paid along with original Medicare.

Medicare Advantage Plan (Part C). A Medicare Advantage Plan is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. Medicare Advantage Plans include Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Private Fee-for-Service Plans, Special Needs Plans (SNP), and Medicare Medical Savings Account Plans. If you're enrolled in a Medicare Advantage Plan, Medicare services are covered through the plan and aren't paid for under Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage.

Part D plans add prescription drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private-Fee-for-Service Plans, and Medicare Medical Savings Account Plans. These plans are offered by insurance companies and other private companies approved by Medicare. Medicare Advantage Plans may also offer prescription drug coverage that follow the same rules as Medicare Prescription Drug Plans. There are CMS rules that require Medicare members to carry Part D coverage, otherwise a 1% per month of non-coverage penalty can be assessed.


If you have interest in learning more about what Medicare insurance plans that Fringe Benefit Services offers to meet your needs click on the graphic below and fill out the contact form.



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