Compare Affordable Medicare Plans
Original Medicare, also known as Medicare Part A and Part B, is a federal health insurance program that is designed to provide coverage for seniors and certain disabled individuals. It is administered by the Centers for Medicare and Medicaid Services (CMS) and is available to people who are 65 years or older, as well as certain younger individuals who are disabled or have end-stage renal disease.
Medicare Part A, also known as hospital insurance, covers inpatient care in hospitals, hospice care, and skilled nursing facilities. This includes things like room and board, as well as medically necessary procedures and treatments. Medicare Part B, also known as medical insurance, covers services such as doctor visits, laboratory tests, and preventive care. It also covers certain medical equipment and supplies.
One of the biggest advantages of Original Medicare is that it is accepted by a wide range of healthcare providers, including hospitals, physicians, and other healthcare professionals. This means that beneficiaries have more flexibility when it comes to choosing their providers and can often see any provider who accepts Medicare. Additionally, Original Medicare does not require beneficiaries to choose a primary care physician or get referrals for specialists.
Another advantage of Original Medicare is that it has few restrictions on the type of care that is covered. It covers a wide range of medical services and treatments, including those that are considered to be experimental or innovative. This means that beneficiaries have access to a wide range of medical options, regardless of their specific medical needs.
However, Original Medicare does have certain limitations and out-of-pocket costs. It does not cover certain types of care, such as long-term care or custodial care, which can be costly for seniors. Additionally, Original Medicare does not cover certain services such as hearing aids, dental care, and prescription drugs. Beneficiaries may have to pay 20% of the Medicare-approved amount after they meet the yearly deductible for Part B, and many purchase a separate Medigap or Supplement plan to fill these gaps.
It's also important to note that Original Medicare does not have a maximum out-of-pocket spending limit, which means that beneficiaries may have to pay a significant amount for medical expenses if they have high medical costs.
In conclusion, Original Medicare is a federal health insurance program that provides coverage for seniors and certain disabled individuals. It provides broad coverage for inpatient and outpatient care, but does have some limitations and out-of-pocket costs. Beneficiaries should consider purchasing additional coverage, such as Medigap or Prescription drug plan (Part D) to cover gaps in coverage and reduce their financial burden. Beneficiaries should also consider how Original Medicare aligns with their healthcare needs and budget.