Centers for Medicare and Medicaid Services (CMS)

Medicare is administered by the Centers for Medicare and Medicaid Services.

Medicare

Is a health insurance for people age 65 or older, under 65 with certain disabilities, and any age with End-Stage Renal Desease (ESRD). ESRD is permanent kidney failure requiring dialysis or a kidney transplant.

Medicare - Parts vs. Plans

Medicare “parts” are predefined types of care.


Medicare “plans” are private insurance policies that cover various aspects of the “parts.”

Medicare Part A (Hospital Insurance)

Helps to cover inpatient care in hospitals (includes critical access hospitals, inpatient rehabilitaion facilities, and long term care hospitals).

Medicare Part B (Medical Insurance)

Helps cover doctor services and outpatient care. Helps to cover some preventive services to help maintain a person’s health and to keep certain illnesses from getting worse. Generally pays 80% of the Medicare-approved amount for covered services.

Medicare Part C (Medicare Advantage Plans)

A way to get Medicare benefits through private companies approved by and under contract with Medicare. Includes Part A, Part B and usually other benefits Medicare doesn’t cover. Most plans also provide prescription drug coverage.

Medicare Part D (Presciption Drug Coverage)

Run by private insurance companies approved by Medicare, which can either be Medicare Advantage Plans or a separate Medicare Prescripion Drug Plan. Helps to cover the cost of prescription drugs.

Medicare Supplement Policies

Is a health insurance policy issued by a private insurance company and is designed to fill some of the gaps in Medicare