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What You Should Know About Medicare

By: MEDICAREPART.ORG


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The administration of Medicare is directly related to the Social Security Administration. This means that when you reach the age of 65, you will be eligible for coverage if you have been in the United States as a permanent resident for at least five consecutive years and paid the related taxes for a minimum of ten years, which is usually done with a payroll deduction.

While the various requirements for coverage may seem complicated, you should be able to sort them all out after consulting with your primary care provider (PCP) and determine the type of Medicare plan that is right for you. In addition, the program has four main components, which are described in detail below.

Part A

This section covers stays in a hospital, along with recuperative care that is received in a convalescent or nursing home. The latter category will only be covered if it is not synonymous with long-term care and is also non-custodial. Note that Medicare Part A is somewhat limited in scope, and it may be supplemented with partial coverage for home health care or hospice services.

Part B

While enrollment is not compulsory, this section covers most medical treatment, services and supplies that you may require for an existing medical condition, and certain preventive care services as well, If they measure up to current acceptable medical standards.

Coverage for home health services or outpatient care may also be available under Medicare Part B, but they must not fall into the category of long-term care. This section also includes essential medical equipment—including walkers, canes, scooters, and prosthetic limbs¬—to maintain your quality of life.

Certain health care procedures that are intended to prevent, detect, or monitor various medical conditions are also covered under Medicare Part B because they are less difficult and less costly to treat as a result. They include gynecological examinations, screenings for prostate cancer, vaccinations and some alternative health procedures, with acupuncture being specifically excluded.

Part C - Medicare Advantage

This section allows you to obtain your benefits through a private insurer, which can be done via a Preferred Provider Organization (PPO), a Health Maintenance Organization (HMO). Special Needs Plan (SNP), Medical Savings Account (MSA), or Private-Fee-For Service (PFFS) plan. It will enable you to deal with a trusted insurance provider and also offers more flexibility.

Note that Part C should not be regarded as some type of supplemental coverage since it actually provides the services found in the original Part A and Part B plan. Medicare Advantage may be exactly what you want, but you should take the time to do some thorough research before making a final decision about your medical insurance.

Part D - Prescription Drugs

This final (and newest) part of Medicare is intended for anyone who already has some type of Medicare coverage. To obtain it, you will have to enroll in a stand-alone Prescription Drug Plan (PDP) or add it to your Medicare Part C plan, if that applies. Part D permits a considerable amount of flexibility, but your choice may also be influenced by the prevailing preferred provider options and regional coverage limits.

Article Source: http://depositarticles.com/

Visit www.medicarepart.org to learn about your medicare coverage choices: Medicare Part A, Medicare Part B, Medicare Part C - Medicare Advantage, Medicare Part D - Prescription Drug Coverage & Medigap.

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