Medicare Options ABC and D’s of Medicare

Original Medicare coverage:

Medicare PART A: Hospital Services

In general, Part A covers:

  • Inpatient care in a hospital
  • Skilled nursing facility care
  • Inpatient care in a skilled nursing facility (not custodial or long-term care)
  • Hospice care
  • Home health care

What is not covered by Medicare Part A:

  • Long-term care (also called custodial care)
  • Most dental care
  • Eye examinations related to prescribing glasses
  • Dentures
  • Acupuncture
  • Hearing aids and exams for fitting them
  • Routine foot care
  • Observation status in the hospital (even if you stay overnight in a regular hospital you might be classified as an outpatient)

Medicare PART B: Medical Services

Part B helps pay for the care you receive from doctors.

It also covers:

  • Outpatient care
  • Medical tests
  • Durable Medical Equipment and supplies
  • Preventive care and Routine care, including mammography and Pap tests
  • Getting a second opinion before surgery

Medicare PART C: Medicare Advantage Plans

Medicare Advantage Plans provide all benefits covered by Part A and Part B and more. 

Some include vision, hearing, and dental coverage, plus wellness programs. Some also provide free transportation services for medical appointments. Most plans include coverage for prescription drugs (Part D) at no additional charge.

The amount of money you pay toward some services may differ when you have a Medicare Advantage Plan. 

Only Medicare-approved private companies can offer Medicare Advantage (MA) plans.

Medicare PART D: Prescription Drug Plans

You must have prescription drug coverage. Some plans already have a Medicare part D coverage included.

You can choose:

  • Standalone prescription coverage (Prescription Drug Plan)
  • Medicare Advantage plan coverage that includes medical and prescription coverage.

 

 A Quick Look at Medicare: Click here to download a simple guide about Medicare.

 

For more information:

  • Call (808) 426-7600 to speak to an authorized representative or licensed insurance agent.
  • Fill out the contact info below, and we will contact you.

Need help navigating your Medicare options?

A licensed Medicare broker is a professional that is independent of any specific health plan, is appointed to represent multiple health plans, and can review your specific needs and help you compare Medicare coverage options for this enrollment year.

We can put you in touch with brokers that understand the MDX Hawaii program. These brokers can help you evaluate coverage options to find one that meets your needs. With your permission, we will give your contact information to a broker to contact you to discuss coverage options.

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