Top 20+ who is eligible for medicaid in georgia

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Table of Contents

What is Medicare?

Medicare is the basic healthcare program for people 65 or older and people with disabilities. You can enroll through the Social Security Administration. Medicare is split into different “parts” that cover different areas of care, such as certain services and supplies in hospitals, doctors’ offices, and other healthcare settings. The four basic parts are labeled with the letters A, B, C, and D. Medicare Parts A and B are commonly referred to as “Original Medicare.” Anything that is not covered by parts A and B may be covered by Medigap or Medicare Advantage Plans.

If you already know what you need and are looking to explore Medicare options, contact our partners at GeorgiaCares.

What does Medicare Part A cover?—How to pay for hospital stays and skilled nursing

Medicare Part A, or inpatient hospital insurance, is generally for short-term care including inpatient care in hospitals, short-term stays in a skilled nursing facility (or nursing home), hospice services, and time-limited home health services. Sometimes these short-term services after a hospital stay are considered “post-acute.”

What does Medicare Part B cover?—How to pay for doctors, medical equipment, and screenings

Medicare Part B, or outpatient insurance, covers doctors’ services, many outpatient services, ambulance trips, durable medical equipment (sometimes called DMEs, which may include blood sugar monitors, oxygen equipment, walkers, and other tools you may need to live your daily life), and preventative services (such as screenings and counseling by a doctor, including the new Annual Wellness Visit).

What does Medicare Part C cover?—How to pay for care beyond Medicare

Medicare Part C includes Medicare Advantage Plans, which are managed health plan options approved by Medicare and offered by private companies that provide both Part A and B coverage and may provide drug coverage. Some plans may offer extra coverage, such as vision, hearing, dental and/or health and wellness programs. Patients must select doctors from an approved network. Since each Medicare Advantage Plan can charge different premiums and other out-of-pocket costs and provides a different package of covered benefits, it is important to compare plans before enrolling. For more information, contact our partners at GeorgiaCares.

What does Medicare Part D cover?—How to pay for your prescriptions

Medicare Part D offers prescription drug coverage. Part D policies are available from private health insurance companies. You can sign up for Medicare prescription drug coverage through:

Medicare Prescription Drug Plans. These plans (sometimes called “PDPs”) add drug coverage to original Medicare (Parts A and B) and some Medicare Advantage Plans (Part C).
Medicare Advantage Plans that offer prescription drug coverage ( sometimes called “MA-PDs”). You get all of your Part A and Part B coverage, including prescription drug coverage (Part D), through these plans.

Even if you do not take a lot of prescription drugs, you should still consider joining a Medicare drug plan. If you do not sign up for Medicare Part D when you first become eligible or during a special enrollment period, you may pay a late enrollment penalty. If you have limited income and resources, you may qualify for extra help from Medicare and Medicaid to pay for your prescription drug coverage. For more information, check out the official Medicare website or contact our partners at GeorgiaCares.

Explore more of our resources if you need additional help managing your medications.

What is Medigap?

Medigap (or Medicare Supplemental Insurance) is an insurance policy that covers costs that original Medicare doesn’t cover, including copays and deductibles for Parts A and B. You can buy a Medigap policy from a private insurance company for a monthly premium. Visit the official Medicare website for more information about Medigap or contact our partners at GeorgiaCares.