UNDERSTANDING MEDICARE ADVANTAGES

The United States of America launched a social security program called Medicare. It seeks to provide health insurance to people above the age of sixty-five. People with permanent disabilities or permanent kidney failure are also covered under this. It helps them meet their health care costs.

 

But some costs are not covered under Original Medicare (Medicare Part A and Medicare Part B) offered by the government. It is, therefore, prudent to invest in Medicare advantage plans, New Jersey.

 

 

THE SCOPE OF MEDICARE

 

Medicare can be classified as follows:

● Medicare Part A or Hospital Insurance for Inpatient Care.

● Medicare Part B or Medical Insurance for Outpatient Healthcare.

Together, Medicare Part A and Medicare Part B comprise Original Medicare. They will cover most of the health care costs that you may incur.

● Medicare Part C or Medicare Advantage.

● Medicare Part D or Prescription Drug Plans

 

 

MEDICARE PART A

 

Medicare Part A will cover Hospital Insurance for inpatient care in hospitals and nursing facilities. An inpatient is one who has been admitted formally to a hospital, with a doctor's order.

 

 

MEDICARE PART B

 

Medicare Part B will cover Medical Insurance for outpatient care from doctors or other service providers. It is essential to note that emergency overnight stays in hospitals without a doctor's order do not make you qualify for being an inpatient.

 

Even for inpatients, the staying and room charges will be covered by Medicare Part A, while the other healthcare costs, the doctor's service charges, will be covered by Medicare Part B.

 

 

MEDICARE PART C

 

Medicare Part C refers to the Medicare advantage plans, New Jersey that can be obtained by paying an additional premium. It connects with Original Medicare, which is Medicare Part A and Medicare Part B. Your Medicare Services will be paid through Medicare Advantage and not through the Original Medicare.

 

Some of the best Medicare advantage plans are being increasingly opted for in New Jersey. They offer coverage to a majority of healthcare services that were left out by the Original Medicare.

 

Healthcare services like vision, dental services, wellness programs, hearing services, and care for chronic illnesses come under your health insurance scope. Medicare advantage plans New Jersey also help cover the cost of transportation to the doctor and adult-day care facilities.

 

Only people who have Medicare Parts A and B and do not have End-stage Renal Disease (ESRD) can apply for Medicare Advantage Plans.

 

Most Medicare Advantage plans in New Jersey will also cover over-the-counter medications and prescription drugs covered under Medicare Part D. 

 

If you choose to enrol for Medicare Part D (Prescription Drug Coverage) separately, you will have to return to your Original Medicare after being disenrolled from your Medicare Advantage Plan. Medigap or Medicare Supplement Policies do not work with Medicare Advantage either.

 

 

MEDICARE PART D

 

Medicare Part D offers Prescription Drug Coverage. It provides more excellent coverage than the Medicare Advantage Plans.

 

Some Medicare Advantage Plans do not offer any drug coverage. It, then, becomes essential to enrol for Medicare Part D to meet the rising prescription drug costs.