What is Medicare
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Understanding the fundamentals of Medicare Insurance can simplify the process of selecting your ideal coverage. Discover how Fika Insurance Group can effortlessly guide you through your available Medicare Insurance options, ensuring you find the best plan to meet your needs.
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THE FOUR MAIN PARTS TO MEDICARE:
Medicare Part A (Hospital Insurance)
- Covers inpatient hospital stays
- Care in skilled nursing facility
- Hospice care
- Home health care
Medicare Part B (Medical Insurance)
- Covers certain doctors
- Outpatient care
- Medical supplies
- Preventive services
Medicare Part C (Medicare Advantage)
- Medicare Advantage is an “all-in-one” alternative to Original Medicare.
- These bundled plans include Part A (Hospital Insurance) and Part B (Medical Insurance), and usually Part D (Prescription Drug Coverage).
- Many Medicare Advantage plans offer additional benefits such as dental, vision, hearing, and wellness programs.
- These plans are offered by Medicare-approved private insurance companies and provide an all-inclusive way to get your Medicare coverage.
Medicare Part D (Prescription Rx Plan)
- Assists in covering prescription drugs
- Helps to cover some recommended shots & vaccines
- Offers a variety of plan options to meet individual needs
- Provides access to a network of pharmacies
- Includes coverage for both generic and brand-name drugs
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FAQs
Frequently Asked Questions!
Typically, Original Medicare is for individuals who are 65 years or older. However, some people under 65 with specific disabilities may also be eligible for Medicare. Additionally, individuals with End-Stage Renal Disease (ESRD), which is permanent kidney failure requiring dialysis or a transplant, can enroll in Medicare regardless of their age. This ensures that those with serious health conditions receive the necessary coverage.
Good news—most Medicare beneficiaries will not pay a premium for Medicare Part A (Hospital Insurance) coverage, often referred to as “premium-free Part A.” For those who do not qualify for premium-free Part A, the monthly premium can be up to $506 in 2024, depending on how long they or their spouse worked and paid Medicare taxes.
Everyone pays a premium for Medicare Part B (Medical Insurance). As of 2024, the standard monthly premium for Part B is $174.70. It's important to note that if your income exceeds a certain threshold, you may have to pay more than the standard amount due to the Income-Related Monthly Adjustment Amount (IRMAA). Learn more about the costs of Original Medicare and how they might apply to you.
When you are first eligible for Medicare benefits, you have a 7-month period to sign up for Medicare Part A and Medicare Part B, known as your Initial Enrollment Period. This period begins 3 months before you turn 65, includes the month you turn 65, and ends 3 months after your 65th birthday month.
If you decide not to enroll when you are first eligible, you will need to wait until the yearly General Enrollment Period. The General Enrollment Period runs from January 1st to March 31st each year, with coverage beginning on July 1st.
In some situations, you may decide to delay enrollment into Original Medicare and sign up through a Special Enrollment Period. For example, if you are covered under a group health insurance plan, you have an 8-month Special Enrollment Period that starts the month after employment ends or the month after your group coverage ends, whichever comes first
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Medicare Guide
The team at Fika Insurance Group simplifies the complex world of insurance for you. Whether you need clarity on Medicare, Life, or Health Insurance, we are here to help. By signing up for our monthly newsletter, you'll receive our free audiobook, "Understanding Medicare: Your Complete Guide." Stay informed with expert insights and tips, and make confident decisions about your coverage.