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Medicare and benefits overview

Benefits Overview

Medicare — The Four Parts

Medicare is our country's health insurance program for people age 65 or older, and for certain people younger than 65 who have disabilities. It has four parts. Below is a plain-English overview of what each part covers, drawn from Medicare's official pages. Use the links to read the full details or to enroll.

The summaries below are drawn from the official Medicare.gov pages linked in each section. Coverage rules, costs, and enrollment periods change — always confirm the current details at Medicare.gov or with Social Security before making a decision.

Medicare Part AHospital Insurance

Part A helps pay for inpatient care in hospitals and critical access hospitals, and care in skilled nursing facilities. It also helps cover hospice care and some home health care.

Covers things like:

  • Inpatient hospital care
  • Skilled nursing facility (SNF) care
  • Inpatient behavioral and mental health care
  • Hospice care
  • Some home health services
Read the official Medicare.gov page

Medicare Part BMedical Insurance

Part B helps cover medically necessary services and supplies needed to diagnose or treat a medical condition, along with preventive services to prevent illness or catch it early. Most preventive services cost $0 when you use a provider who accepts assignment.

Covers things like:

  • Ambulance services
  • Durable medical equipment (DME)
  • Mental health and substance use disorder services
  • Clinical research
  • Limited outpatient prescription drugs
  • Oxygen equipment and accessories
Read the official Medicare.gov page

Medicare Advantage (Part C)Medicare-approved plans from private companies

Part C isn't a separate set of benefits — it's another way to get them. Medicare Advantage plans are Medicare-approved health plans offered by private companies that contract with Medicare. You can choose one instead of Original Medicare to get your Part A and Part B benefits, and these plans usually include prescription drug coverage (Part D) too.

Covers things like:

  • Most Part A (Hospital Insurance) benefits
  • Most Part B (Medical Insurance) benefits
  • Usually includes Part D prescription drug coverage
  • Offered as Medicare Advantage Plans, Medicare Cost Plans, and PACE (Program of All-Inclusive Care for the Elderly)
Read the official Medicare.gov page

Medicare Prescription Drug Coverage (Part D)Prescription Drug Coverage

Part D is optional coverage that helps lower the cost of prescription drugs. It's offered by Medicare-approved private insurance companies and helps pay for both brand-name and generic drugs. Medicare recommends signing up when you're first eligible to avoid a late enrollment penalty later.

Covers things like:

  • Brand-name prescription drugs
  • Generic prescription drugs
  • Optional coverage sold by Medicare-approved private companies
  • Each plan sets its own covered-drug list and pharmacy network
  • A late enrollment penalty applies if you delay without other creditable drug coverage
Read the official Medicare.gov page