Medicare became law in the mid-1960’s. It exists today largely as it did back then. We call this Original Medicare. Something unique about Medicare is that separates your hospital and outpatient medical care into two separate parts.
Things to Know about Medicare:
- Original Medicare has no networks. You can see any Medicare provider that accepts Medicare. (No matter which supplement company you choose!)
- Medicare has nearly a million participating providers. It’s generally not a problem to find a doctor that accepts Medicare.
- Choosing a doctor outside of Medicare will cost. You will pay for those services entirely on your own.
- A Medicare supplement pays only after Medicare first pays its share. As long as Medicare accepts your claim, the supplement company will always pay its portion
What Medicare Covers
- Medicare covers a wide variety of medical services. This includes doctor visits, preventive care, lab tests, emergency services, and medical equipment. It also includes like surgeries, and treatment for cancer and hospital stays.
- Medicare covers care that is medically necessary.
- Although enrolling in Medicare Part B is optional, you should NOT skip Part B unless you have other coverage. No one wants to be stuck owing 20% of the cost of a surgery or expensive CT scan.
What Medicare Doesn’t Cover
- Medicare Part B has deductibles that you will pay without a supplement. The 2016 hospital deductible alone is $1288.
- Part B covers only 80% of the cost of your outpatient care.
- Medicare does not cover long term care, like nursing home stays.
- It does not cover custodial care either, such as help with bathing, dressing, and eating. It WILL cover short-term skilled nursing facility stays when you are recovering from an injury or illness.
- Medicare doesn’t cover things considered voluntary, such as cosmetic procedures. Hearing aids, routine dental work and routine foot care aren’t covered either. There is a list of services not covered in your Medicare & You Handbook.
Fortunately, Medicare supplements can help pay your deductibles and co-insurance.You can learn about Medicare here, and if you need more personal assistance, a Boomer Benefits agent can answer your questions.
Our agency can provide information about Medicare and your supplemental Medicare insurance options. We will spend time explaining Medicare first before helping you choose a suitable supplemental insurance plan.
To continue learning Medicare, go next to: The Parts of Medicare