YOUR MEDICARE OPTIONS


1

STEP 1

Decide how you want to get your coverage

ORIGINAL MEDICARE

PART A

HOSPITAL INSURANCE

PART B

MEDICAL INSURANCE
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  • Hospital stays
  • Skilled nursing facility
  • Hospice care
  • Some home health care
Once you turn 65, you’re automatically enrolled in Medicare Part A. Most people don’t have to pay a premium for Part A because they, or their spouse, paid Medicare taxes while working.
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  • Medical service
  • Outpatient care
  • Medical items
  • Covered preventive services
Medicare pays: 80% of approved charges
Beneficiary Pays: 20% of approved charges
Part B is optional because you have to pay a monthly premium and satisfy a deductible before Medicare will pay benefits.
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2

STEP 2

Decide if you need to add drug coverage
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PART D

PRESCRIPTION DRUG COVERAGE
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  • Help lower prescription drug cost
  • All plans must offer at least a standard level of coverage set by Medicare
  • Some Medicare Advantage plans offer built-in prescription drug coverage
Part D plans are part of the government’s Medicare program, but they’re offered and managed through approved private insurers.
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3

STEP 3

Decide if you need to add supplemental coverage
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MEDICARE SUPPLEMENT INSURANCE

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  • Helps pay costs (copays, coinsurance and deductibles) that Original Medicare doesn’t cover
  • Only works with Original Medicare
  • Medicare Supplement insurance cannot be used with Medicare Advantage plans, but can be used with Prescription Drug plans
A Medicare Supplement policy is private health insurance that supplements Original Medicare. It helps pay for the 20% of health care costs (gaps) that Original Medicare doesn’t cover.