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4 Cards in this Set
- Front
- Back
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Medicare Part A (Hospital Insurance) |
What does it cover: - Inpatient care in a hospital - Skilled nursing facility care - Nursing home care - Hospice care - Home health care |
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Medicare Part B (Medical Insurance) |
What is it? - Medically Necessary Services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice - Preventive Services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best. - What does it cover? - Clinical research - Ambulance services - Durable medical Equipment (DME) - Mental Health * Inpatient * Outpatient * Partial hospitalization - Limited outpatient prescription drugs - What is not covered? - Long-term care - Most dental care - Eye exams related to prescribing glasses - Dentures - Cosmetic surgery - Acupuncture - Hearing aids and exams for fitting them - Routine Foot Care |
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Medicare Part C (Medicare Advantage Plan) |
- offered by private companies approved by medicare - This plan provides all of your Part A (Hospital Insurance) and Part B (Medical Insurance) coverage. - Offers extra coverage towards vision, hearing, dental, and/or health and wellness programs - Most include Medicare prescription drug coverage (Part D) - Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Palns - Each Medicare Advantage Plan can charge different out of pocket costs and have different rules for how you get services |
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Medicare Part D (Prescription Drug Coverage) |
What does it cover? - Plan can vary the list of prescription drugs they cover (called a formulary) and how they place drugs into different "tiers" on their formularies - Most Medicare drug plans have their own list of what drugs are covered, called a formulary. - Plan includes both brand-name prescription drugs and generic drug coverage. - The formulary includes at least 2 drugs in the most commonly prescribed categories and classes. |
