May 30th, 2017 Medicare
Medicare is the federal health insurance program for people who are 65 or above, certain young people who have disabilities such as end stage renal disease. Medicare includes different parts that cover specific services like Part A covers hospital insurance, Part B covers medical insurance, Part C (issued by private insurers) covers services of both Part A and Part B (and sometimes Part-D), and Part D covers drug prescription services.
It is important to know the difference between Medicare Part A and Part B while enrolling for Medicare. Lets check them out.
|Medicare Part A||Medicare Part B|
|Coverage and Services||Medicare Part A covers hospital insurance. Below are the services categorized as follows:
Hospital Care: This coverage includes benefits such as meals, semi-private room, general nursing, other hospital services and supplies, care in inpatient rehabilitation facilities and mental health care in a psychiatric hospital. To know the list of hospitals which are enrolled in Medicare and choose the best hospitals, you can refer to our website //www.medicarelist.com/hospitals/
Skilled Nursing Facility Care: This coverage includes semi-private room, meals, skilled nursing care, medical social services, physical therapy, speech-language therapy, medical equipment, Ambulance transportation and Dietary counseling. To know the list of nursing-homes (along with quality ratings) which are enrolled in Medicare, you can refer to our website //www.medicarelist.com/nursing-homes/
Hospice: This coverage provides services to people who are terminally ill and have less than 6 months to live. To get the services, doctor must certify that the patient is terminally ill. To know the list of hospice which are enrolled in Medicare, you can refer to our website //www.medicarelist.com/hospice-care/
Home Health Services: Face to face interaction with the doctor is necessary to avail home health services. Patient must be home-bound. To know the list of home health agencies which are enrolled in Medicare, you can refer to our website //www.medicarelist.com/home-healthcare/
|Medicare Part B covers medical insurance. Below are the services categorized as follows:
Doctors’ Services: Medicare covers medically necessary doctor services. It also covers services given by other health care providers, like physician assistants, nurse practitioners, social workers, physical therapists, and psychologists.
Outpatient Medical and Surgical Services and Supplies: Medicare covers for approved procedures like X-rays, casts, or stitches.
Durable Medical Equipment: Medicare covers costs for items such as oxygen equipment and supplies, wheelchairs, walkers, and hospital beds for use in the home. Some items may be rented.
Home Health Services: Medicare covers medically necessary part time nursing care, physical therapy, speech-language pathology services and services for people with a continuing need for occupational therapy.
Other (including, but not limited to): Medicare covers for clinical laboratory services, diabetes supplies, kidney dialysis services and supplies, mental health care, limited outpatient prescription drugs, and other services. The costs varies with each service.
Preventative Services: Medicare covers many preventative services to help the person stay healthy.
To know the list of doctors , therapists and nurses who accept medicare, you can refer to our website //www.medicarelist.com/
|Cost||Part A Premiums.
Most people don’t pay any premium for Medicare Part A (individuals who paid medicare taxes for atleast 40 quarters). There is monthly premium for Medicare Part A for individuals who paid medicare taxes for less than 40 quarters. Check the premium prices at Medicare Part A Premium
Part A Deductibles.
|Part B Premiums.
Each person pays a premium for Part B each month which depends on one’s income. The standard Part B premium amount in 2017 is $134.
If each person pays his/her Part B premium through his/her monthly Social Security benefit, he/she has to pay less ($109 on average).
Part B deductible and coinsurance.
A person has to pay $183 per year for his/her Part B deductible. After his/her deductible is met, he/she typically pays 20% of the approved amount of medicare for most doctor services, outpatient therapy and durable medical equipment.
May 23rd, 2017 Medicare
Medicare is a health insurance program offered by the federal government for people who are 65 and above. Within Medicare, Part-A insurance covers the inpatient hospital care. Most people get Medicare Part A free of cost when they turn 65. Below are the services which come under Medicare Part A.
People with the following criteria are eligible for Part A Medicare program.
Refer to our guide on Medicare Eligibility Requirement for in-depth eligibility requirments.
There is no monthly premium for Medicare Part A for individuals who paid their medicare taxes for atleast 40 quarters.
The eligibility for people at 65 is as follows:
The eligibility for people under 65 is as follows:
For the year 2017
|Benefit Period in 2017||Pay|
|Days 1-60||$1316 deductible|
|Days 61-90||$329 per day|
|Days 91-150||$654 per day
(60 lifetime reserve days)
|All days after 150||All Costs|
Cost Working Examples
Skilled Nursing Facility:
|Benefit Period in 2017||Pay|
|Days 21-100||$164.50 per day|
|All days after 100||All Costs|
Home Health Care: Patient has to pay nothing for home health services in the original Medicare. For certain medical equipment like wheel chair or walker, he has to pay 20% of the amount and the rest 80% is covered by Medicare Part-B.
Hospice: Patient has to pay not more than $5 for each prescription drug and 5% for inpatient respite care. For example, if Medicare approved $150 per day for inpatient respite care, then he has to pay $7.50 per day.