Medicare Explained


Understanding Medicare

Medicare, the federal health insurance program in the United States, is designed for individuals aged 65 and older. It’s also available for specific individuals under 65 with disabilities or those diagnosed with End-Stage Renal Disease. The program comprises different parts, each offering distinct coverage options tailored to various healthcare needs.

Over 10 million beneficiaries rely on Medigap policies to provide financial protection against unexpected medical expenses.


Hospital Insurance


Medical Insurance


Medicare Advantage


Drug Coverage

Medicare Part A

Medicare Part A encompasses coverage for inpatient hospital stays, skilled nursing facility care, hospice services, and some home health care.

Notably, Part A often incurs no cost to the recipient.

Medicare Part B

Medicare Part B offers outpatient medical coverage, assisting in payments for essential services delivered on an outpatient basis for medical diagnosis and treatment purposes.

Encompassing surgeries, laboratory tests, and preventive services, Part B plays a pivotal role.

Medicare Part C

Medicare Part C, also referred to as Medicare Advantage (MA), presents an alternative to Original Medicare. This comprehensive benefit form may include prescription drug coverage alongside supplementary benefits. Administered by private insurance companies, Medicare Advantage enrollment takes place outside the Social Security office or website.

Medicare Part D

Medicare Part D, synonymous with prescription drug coverage, is accessible as either a Stand Alone Option (PDP) or as part of a Medicare Advantage plan (Part C). Private insurance companies approved by Medicare offer Part D plans.

Medicare Supplements

Medicare Supplement plans, known as Medigap, are strategically aligned with Original Medicare Parts A and B. Medigap policies fill the gaps in coverage left by Original Medicare, including deductibles, coinsurance, and foreign travel emergency expenses.

These plans, provided by private insurance companies, cater to individuals enrolled in both Medicare Part A and Part B.

Beneficiaries with Original Medicare and a Medicare supplement can select standalone Part D prescription plans to cover medication expenses.

Notably, Medicare Advantage plan (Part C) enrollees are ineligible for Medicare Supplement insurance policies.

Need Assistance with Coverage Decisions?

Contact us today to learn more about how The Coleman Agency can help you secure the coverage you deserve.

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