The standard form of Medicare coverage, Original Medicare, has two main components: Medicare Part A and Medicare Part B.
Medicare Part A provides benefits that cover hospital care services, including:
- Inpatient care delivered in a hospital
- Care in a skilled nursing facility
- Inpatient nursing home care
- Home health care services
- Hospice care
Medicare Part A also covers a lifetime limit of up to 190 days of inpatient mental health care in a psychiatric hospital for each beneficiary.
Medicare Part B Provides benefits that cover medical services, including:
- Medically necessary services
- Preventive services
- Clinical research participation
- Ambulance transportation
- Durable medical equipment purchases
- Mental health care services delivered in inpatient, outpatient, and partial hospitalization settings
Once you sign up for Original Medicare, you will have access to all of these benefits, but ensure that you check with your health care provider before receiving services to confirm that your care will be covered under Medicare.
Medicare Part D (Prescription Drug Coverage)
Original Medicare does not provide comprehensive prescription drug coverage. If you need prescription drug benefits, Medicare Part D can provide you with affordable access to prescription medications that are prescribed to you by your health care providers.
If you choose to enroll in this optional benefit, Medicare will cover some of the costs for medications listed in their formulary. The formulary is a list of prescription drugs that are covered under the policy. Medicare Part D plans can choose which drugs they cover and place them into different tiers that determine their cost to the consumer.
Medicare Supplement Insurance
Medicare Supplement Insurance (Medigap) policies are designed to help Original Medicare beneficiaries cut down out-of-pocket costs. There are currently 10 available plans, each offering different benefits. If you are interested in purchasing a Medigap policy, Proinsurance Hawaii can point you in the direction of the best plan for your unique situation.