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Senior Couple Undergoing Medical Examination

Medicare

What is an Medicare?

Medicare is a federal health insurance program in the United States that primarily provides coverage for people who are aged 65 and older, as well as some younger individuals with certain disabilities or medical conditions. It was established in 1965 under Title XVIII of the Social Security Act and is administered by the Centers for Medicare & Medicaid Services (CMS), a division of the U.S. Department of Health and Human Services.

What are the key elements of Medicare?

  • Medicare Part A: Hospital Insurance - Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care services.

  • Medicare Part B: Medical Insurance - Part B covers outpatient care, doctor's visits, preventive services, and some medical supplies and equipment.

  • Medicare Part C: Medicare Advantage - Also known as Medicare Advantage plans, these are offered by private insurance companies approved by Medicare. They provide all the benefits of Part A and Part B, and often include additional benefits such as prescription drug coverage and dental or vision care.

  • Medicare Part D: Prescription Drug Coverage - Part D is prescription drug coverage offered by private insurance companies approved by Medicare. It helps cover the cost of prescription medications.

Summary

Medicare stands as a critical pillar of the United States' healthcare system, offering essential coverage to millions of elderly and disabled individuals. Through its various parts, including hospital insurance, medical insurance, Medicare Advantage, and prescription drug coverage, it aims to provide comprehensive healthcare access and financial protection. While beneficiaries may face premiums and out-of-pocket costs, Medicare plays a vital role in ensuring access to necessary medical services and medications, promoting the well-being and quality of life for those it serves.

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