What is Medicare?
Not to be confused with Medicaid.
There are separate lines for basic Part A and Part B's supplementary medical coverage, each with its own date.
There are no lines for Part C or D, for which additional supplemental policies are issued with a separate card.
In the United States, Medicare is a single-payer, national social insurance program administered by the U.S. federal government since 1966, currently using about 30–50 private insurance companies across the United States under contract for administration.United States Medicare is funded by a payroll tax, premiums and surtaxes from beneficiaries, and general revenue. It provides health insurance for Americans aged 65 and older who have worked and paid into the system through the payroll tax. It also provides health insurance to younger people with some disability status as determined by the Social Security Administration, as well as people with end stage renal disease and amyotrophic lateral sclerosis.
In 2015, Medicare provided health insurance for over 55 million—46 million people age 65 and older and 9 million younger people. On average, Medicare covers about half of the health care charges for those enrolled. The enrollees must then cover their remaining costs either with supplemental insurance, separate insurance, or out-of-pocket. Out-of-pocket costs can vary depending on the amount of health care a Medicare enrollee needs. They might include the costs of uncovered services—such as for long-term, dental, hearing, and vision care—and supplemental insurance premiums.
Medicare Part A covers hospital and hospice services; Part B covers outpatient services. Part D covers self-administered prescription drugs. Part C is alternative to the other parts intended to allow experimentation with differently structured plans in an effort to reduce costs to government and allow patients to choose plans with more benefits.
What Is Medicare Part D?
Medicare Part D prescription drug coverage, often referred to as Part D, is provided and coordinated by Medicare-approved private insurance companies. Any beneficiary who is eligible for Original Medicare, Part A and/or Part B, and permanently resides in the service area of a Medicare Prescription Drug Plan, can sign-up for Medicare Part D. Medicare Part D coverage is optional, but if you don't enroll in Part D as soon as you're eligible, you might pay a late-enrollment penalty if you enroll later.
You can get Medicare Part D coverage through a stand-alone Medicare Prescription Drug Plan if you're enrolled in Original Medicare. If you're enrolled in a Medicare Advantage plan, you can get this coverage through a plan that includes drug benefits, also known as a Medicare Advantage Prescription Drug Plan. Different insurers offer different types of plans, so your monthly plan premium and out-of-pocket expenses for prescription drugs will vary from plan to plan.
Every Medicare Prescription Drug Plan has a formulary -- that is, a list of covered drugs. The formularies vary among plans. The formulary may change at any time. You will receive notice from
Medicare resources in GeorgiaFor beneficiaries in Georgia, there are Medicare resources available to help answer their questions about benefits, plans, and other Medicare-related topics.
Georgia Medicare Savings Programs: Beneficiaries whose income falls below a certain limit may qualify for assistance from a Medicare Savings Program. These programs can help beneficiaries in Georgia pay for their premiums, deductibles, and other health costs that Medicare doesn't cover. Contact the Georgia Medicaid department for more information and to learn if you're eligible.
Georgia State Health Insurance Counseling and Assistance Program (SHIP): GeorgiaCares is a volunteer-based program that provides unbiased information to Medicare beneficiaries and their caregivers in Georgia. Their services are free and supported in part by a grant from the Center for Medicare and Medicaid Services (CMS).
Source: Statistical data from the Centers for Medicare & Medicaid Services, "On its 50th anniversary, more than 55 million Americans covered by Medicare" as of July 28, 2015.
Calling the above number will lead you to a sells agent.
You must continue to pay your Medicare Part B premium.
For Medicare Advantage and Prescription Drug Plans: A Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor. Enrollment in these plans depends on the plan's contract renewal with Medicare.
The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
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