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How you can (and can’t) combine the different parts of Medicare

Medicare is made up of different parts. To help complete your coverage, you may want to consider combining different Medicare parts. Let’s take a look at the different Medicare coverage combinations.

Medicare Part A + Part B = hospital stays and doctor visits

Medicare Part A + Part B = hospital stays and doctor visits

Part A and Part B, together known as Original Medicare, cover inpatient hospital stays (Part A) and doctor visits (Part B) — in other words, your essential medical care. It’s common for people to sign up for both Medicare parts at the same time if they don’t already have other coverage, such as through an employer.

 

Original Medicare allows you to seek care anywhere in the country as long as the doctor or hospital accepts Medicare. This feature is particularly convenient if you plan on traveling frequently or spending part of the year in another state. But Original Medicare doesn’t cover prescription drugs, most dental, vision and hearing services, membership to a gym and some other benefits.

If you want to add prescription drug coverage: Add Medicare Part D

 

Part D helps cover the cost of many prescribed medications as well as some preventative vaccines. Part D is available through private insurers and is sold either as a stand-alone plan or as part of a Part C (Medicare Advantage) plan.

If you want to add coverage for out-of-pocket costs: Add a Medicare Supplement plan 

 

Original Medicare doesn’t put a limit on your yearly out-of-pocket costs, such as deductibles, copays and hospital stays. To help manage some of the out-of-pocket costs, you can purchase a Medicare Supplement Insurance policy, or “Medigap,“ from a private insurance company. 

Medicare Part C = all-in-one coverage

Medicare Part C = all-in-one coverage

Think of Part C (or Medicare Advantage) plans as a bundled option. Medicare Advantage plans combine the hospital and medical coverage of Medicare Parts A and B and may also include prescription drug coverage and extra benefits, such as vision, hearing or dental, wellness services and fitness. And Medicare Advantage plans limit your annual out-of-pocket costs on covered medical services. That can make it easier to plan and predict your health care expenses.

Original Medicare + Medicaid = hospital, doctor, prescription drug coverage and more

Original Medicare + Medicaid = hospital, doctor, prescription drug coverage and more

If you qualify for both Medicare and Medicaid, you may be eligible for a Dual Eligible Special Needs Plan, or D-SNP. These plans combine hospital, doctor and prescription drug coverage in one plan. They may also offer other benefits, such as:

 

  • Dental, vision and hearing services
  • Transportation to and from doctor visits
  • An allowance for over-the-counter products

 

 

Completing your Medicare coverage

 

If you want coverage beyond what Original Medicare provides, you have two options. 

Option 1: Medicare Advantage (Part C) plan

 

Hospital insurance 

Medical insurance

May also include at low or no cost:

 

Prescription drug coverage 

Gym membership

Dental coverage 

Over-the-counter (OTC) allowance

Vision coverage

If you qualify for both Medicare and Medicaid, you may be eligible for a Dual Special Needs Plan (D-SNP). These plans combine doctor, hospital and prescription coverage in a single plan. You can usually get more benefits not covered with Original Medicare.

 
 
 
 

Option 2: Original Medicare (Part A + Part B)

 

Hospital insurance 

Medical insurance

You can add:

 

Medicare Part D prescription drug plan

 

  • Helps pay for prescription drugs
 
 

With its array of options, Medicare allows you to combine different parts to customize the coverage that’s right for you. To learn more about Medicare parts, go to “Unpacking the parts of Medicare: Parts A, B, C, D and Medicare Supplement plans.”

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