1. Christopher Lawrence
    Insurance Broker | Financial Consultant, Lawrence Insurance Consulting, Southern New Jersey
    Part A covers inpatient hospital stays, skilled nursing facility stays, home health visits (also covered under Part B), and hospice care, and accounted for 32% of benefit spending in 2012.  Part A benefits are subject to a deductible ($1,184 per benefit period in 2013) and coinsurance.
    Part B covers physician visits, outpatient services, preventive services, and home health visits, and accounted for 19% of benefit spending in 2012.  Part B benefits are subject to a deductible ($147 in 2013), and cost sharing generally applies for most Part B benefits.
    Part C refers to the Medicare Advantage program, through which beneficiaries can enroll in a private health plan, such as a health maintenance organization (HMO), and receive all Medicare-covered benefits.  Payments to Medicare Advantage plans to cover Part A and Part B benefits accounted for 23% of benefit spending in 2012.  More than 13 million beneficiaries were enrolled in a Medicare Advantage plan in 2012 (27% of all beneficiaries).
    Part D is the voluntary, subsidized outpatient prescription drug benefit, with additional subsidies for beneficiaries with low incomes and modest assets.  The Part D benefit is offered through private plans that contract with Medicare, both stand-alone prescription drug plans (PDPs) and Medicare Advantage prescription drug plans (MA-PDs).  In 2012, Part D accounted for 10% of benefit spending.  About 32 million beneficiaries were enrolled in a Medicare Part D plan in 2012.
    Answered on October 10, 2013
  2. Jason Goldenzweig
    Co-Founder, TermInsuranceBrokers.com, Goldenzweig Financial Group, Haymarket, Virginia
    Part B is your physician insurance - it covers doctor visits, tests, surgeries, preventive services, and supplies including DMEs (durable medical equipment).The Part B deductible is $147 in 2014. You're responsible for about 20% of healthcare expenses covered by Part B - Medicare only covers approximately 80% of the costs.

    Most people who have Part B will also have Part A (your hospital insurance) - Part A is premium-free for most people.

    You may want to consider buying a Medicare supplement plan (a.k.a. Medigap plan) to cover the other 20%.Please feel free to contact me if I can be of further assistance. Thanks very much.
    Answered on May 13, 2014
  3. Did you find these answers helpful?
    Yes
    No
    Go!

Add Your Answer To This Question

You must be logged in to add your answer.


<< Previous Question
Questions Home
Next Question >>