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Connect One Health is your expert at guiding you through the Medicare health plan maze. We are here to help you understand your choices and answer all of your questions about Medicare, Medicare Advantage, and the Prescription Drug plans. We can help you with questions about Supplemental Insurance, and Medicare B. We are patient, and we explain things in plain English.

There are several ways to contact us. You can call us toll free at 1-877-766-4448 to talk with one of our helpful professionals. You can also chat live with one of professionals through our Internet Chat link. We are here to make this easy for you. Contact us today.

Questions? Call Us at 1-877-766-4448

Our staff is ready to answer all your questions.

Medicare: Basics

Quick FAQ

What is Medicare Advantage?Medicare Advantage is officially called Medicare C. Medicare C is Medicare A and B but managed by private insurance companies.

Medicare Advantage Plans vary from one private insurance company to the next, but they must cover all of the services covered in Medicare part A and B. Features to look for are lower deductibles and extra services that are not included in Medicare Part A or B.

Medicare C or Medicare Advantage is optional and you can sign up for either Medicare Part A and B or Medicare C. The Draw back to Medicare C is that Medigap plans to not apply to Medicare Advantage and you cannot buy a private insurance plan that will cover the gap between Medicare Advantage and out of pocket expenses.

What is Medicare?Medicare is a health insurance plan that is owned and managed by the Federal Government. Medicare is found within the Department of Health and Human Services and managed by the Centers for Medicare and Medicaid Services.

Medicare is a government sponsored health program that most people automatically qualify for once they reach the age of 65. Medicare is also used to support medical insurance for people with qualifying disabilities and who are younger than 65 years of age.

Medicare is divided into four categories. Those are Medicare A, B, C, and D. Medicare A covers inpatient services like hospitalization. Medicare B works in conjunction with Medicare A to cover outpatient services such as doctors visits and therapy visits. Medicare A and B are often called "Original Medicare."

Medicare C is Medicare A and B but managed by third party health systems such as Kaiser. Medicare D is the prescription drug coverage that goes along with Medicare A, B, and C. Most Medicare C plans come with a variation of Medicare D. Medicare C is also referred to as Medicare Advantage.

To qualify for Medicare you need to have worked and paid into the program for a certain amount of years. If you have not qualified by working, you may still be eligible for services, but the penalty is a higher cost each month.

Questions? Call Us at 1-877-766-4448

Our staff is ready to answer all your questions.

 

Medicare Part A: What does it Cover?Medicare Part A covers hospital type medical expenses. These expenses would include part or all of the costs of inpatient medical stay, supplies for treatment while admitted, skilled nursing facility admissions, hospice care, and even home health care services.

Medicare part A is comprehensive, but it does not cover eyeglasses, routine dental care, or hearing aids. Medicare A can be paired with Supplement Medicare Insurance, which is sometimes referred to as Medi-gap insurance, as a means of providing complete financial coverage for most health issues. Medicare A is also paired with Medicare B to provide outpatient coverage.

Medicare vs Medicaid: What is the Difference?The Difference between Medicare and Medicaid is really about who is involved. Medicare is a Federally sponsored health plan while Medicaid is a Federal and State sponsored Health Plan. Medicare is available for qualifying people who are aged 65 or older or those people who have suffered a qualifying disability for more than 24 months. Medicaid is available to people who have limited income and limited resource.

Those people may be children, women who are pregnant, seniors with low incomes, parents, and people with disabilities. In some cases, an individual may be eligible for both Medicare and Medicaid. When that happens Medicare is the primary payer and Medicaid helps to cover medical expenses after Medicare has paid. Note: Rules differ from State to State about qualification for Medicaid and dual beneficiaries.

Learn more about the differences between Medicare and Medicaid here!

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