The ABCD's of Medicare for NH ResidentsCoverage is divided into parts identifiable by the letters A & B. Medicare Part A coverage is hospital insurance and Medicare Part B is medical insurance. Eligibility for coverage typically begins the first day of the month that you turn 65. It is typical that you are automatically enrolled so you should receive a red, white and blue Medicare card in the mail three months before your 65th birthday.
You may also be eligible if you are younger than 65 and have a disability or ALS. Please refer to the Medicare.gov website for more specific information. Some people also need to sign up vs. getting automatically enrolled. This typically happens if you are not collecting social security because you are still working. If you do need to
Part A is considered Hospital insurance if you are an inpatient in a hospital. It may also pay for skilled nursing care, home health care and/or hospice care in certain circumstances.
does Medicare Part A and Part B cover?
Part B is considered Medical Insurance for things like doctor services, out-patient hospital care, lab work, imaging, and home care. Though it covers a wide-range of services, there can be gaps in coverage. This is where Medicare Advantage and Medicare supplement plans can come in.
What does Medicare Part C cover?
Part C or Medicare Advantage plans are offered by private insurance companies and not the US government like Medicare parts A & B. To be eligible, you must have Medicare Parts A and B and live in the plan provider's service area and not have end-stage Renal Disease. In New Hampshire, the popular Medicare Advantage providers include Harvard Pilgrim Health Care, Anthem Blue Cross Blue Shield NH, and United Healthcare NH which are sold through independent insurance agencies as well as directly on-line. (Please note that there is not a difference in premium between what is purchased on-line vs. with the help of an agent.) In New Hampshire, Medicare Advantage Plans include benefits that traditional Medicare does not, such as vision, hearing, dental and wellness programs.
What does Medicare Part D Cover?
Part D is a prescription drug coverage also offered by private insurance companies. Part D is often included in Part C, a Medicare Advantage Plan, but you will want to be sure given the cost of prescription drugs. Like all health plans, these plans typically include deductibles, co-pays, co-insurances and gaps in coverage. It is important to understand what your needs are and purchase an appropriate policy to limit your out-of-pocket expenses.
Typically, you can only
Enroll or Change my Medicare Advantage Plan Anytime?
Are Medicare Advantage and Medicare Supplement Plans the Same?In short - No! At HPM Insurance, our benefits team gets this question regularly. When someone is enrolled in a Medicare Advantage plan, the carrier they choose is their sole provider of health insurance. In other words, they do not use their Medicare card or other benefits. Medicare Supplement plans (also known as Medi-Gap) plans help with the costs such as co-pays and coinsurance, which Medicare does not cover. The member will use both Medicare and Medicare Supplement cards to cover medical services.
Will Medicare Coverage Options Change Dramatically due to Changes in the Affordable Care Act?In my opinion, no- these plans will not be impacted by changes to the Affordable Care Act. Medicare has had a stable market and we do not foresee dramatic changes coming in the near future.
How Do I Know Which Medicare Plan is Best?
With so many plans and options, the best way to choose a plan is to sit with an experienced insurance professional. At HPM Insurance, we have two designated benefit representatives who can meet with you to discuss your coverage options. Our newest team member, Tom Hutton, has more than 15 years of experience in explaining how Medicare works and finding the best options for his clients. The best part? You can get professional advice on the coverage that is best for you and your budget and pay the same amount as you would if you had purchased a policy on your own through the internet. To reach Tom, you may call him at 603-673-1201 or email him at [email protected]
This material is for informational purposes only. All statements herein are subject to change and subject to the provisions, exclusions and conditions of the applicable policy, state and/or federal laws. For an actual description of all coverages, terms and conditions, please refer to the applicable insurance policy or check with an insurance professional.