What Medicare Covers
Medicare covers many inpatient and outpatient services, including medical services, drugs, and medical equipment.
Medicare Part A
Medicare Part A is often called "Hospital Insurance" because it covers everything related to hospitalization, including inpatient hospital stays and skilled nursing facilities. If you have completed 40 quarters (10 years) of work and paid the respective taxes for Medicare, you are eligible for Medicare Part A without having to pay a premium!
Medicare Part B
Medicare Part B is also known as Medical Insurance. It is part of the original Medicare and covers the cost for any medical services/supplies that are needed to treat your health conditions, including doctor's services, preventative services, ambulance services, laboratory tests, imaging, and other outpatient services.
Medicare Part C
Medicare Advantage (Part C) plans in Illinois are sold by private insurance companies and replace the coverage provided by Medicare Parts A & B. Anyone who purchases a Medicare Advantage plan will not need a Medicare plan or a Medicare Supplement plan, as both will be covered by the Medicare Advantage plan.
Here are a few things to consider before making a choice between an original Medicare plan (with a Supplement plan), and a Medicare Advantage plan:
Cost: Medicare Supplement plans (Medigap) usually have a higher monthly premium than Medicare Advantage plans, but have less out of pocket expenses.
Choice: Medicare Advantage plans may sometimes not cover out-of-network care, and they may limit your choices in terms of the doctors and facilities you may visit. Original Medicare and Medicare Supplement policies will usually cover you at any doctor you decide to go to.
Travel: Medicare Advantage plans usually only operate within a certain geographic region. Thus, if you're a traveler or live within multiple locations throughout the year, it is better to go with an original Medicare plan along with a Medicare Supplement plan.
Medicare Part D
Medicare Part D is the drug coverage regulated and approved by Medicare Illinois, but offered by insurance companies. Each plan varies not only in monthly cost, but also in drug coverage. Thus, it is important not to base your enrollment on just the monthly cost of the plan. When you go with Ikhlas, we will take into consideration your monthly premium, your annual deductible (if there is one), and your annual drug cost to make sure you are getting the best overall coverage for the year.