Is Medicare Part A or B Better?

Understanding Original Medicare and Medicare Advantage

Understanding the Parts of Medicare

Medicare is a federal health insurance program designed to help people age 65 and older, and some younger individuals with disabilities, cover their medical expenses. Medicare is divided into different parts, each covering specific services. The main parts of Medicare are:

Part A – Hospital Insurance
Part B – Medical Insurance
Part C – Medicare Advantage
Part D – Prescription Drug Coverage

What Does Medicare Part A Cover?

Medicare Part A, also known as hospital insurance, helps cover:

Inpatient care in hospitals
Skilled nursing facility care
Hospice care
Home health care

Most people don’t pay a premium for Part A if they or their spouse paid Medicare taxes for a certain period while working.

What Does Medicare Part B Cover?

Medicare Part B is medical insurance that helps cover:

Outpatient care
Doctor’s services
Preventive services
Durable medical equipment

Part B requires a monthly premium, which varies based on your income.

Comparing Medicare Part A and Part B

Medicare Part A and Part B together make up what is known as Original Medicare. Both parts cover different aspects of healthcare, and it’s essential to understand what each part offers to make an informed decision:

Part A: Focuses on inpatient care and hospital stays.
Part B: Focuses on outpatient care and medical services.

What is Medicare Advantage (Part C)?

Medicare Advantage, also known as Part C, is an alternative to Original Medicare. These plans are offered by private insurance companies approved by Medicare and often include additional benefits like vision, dental, and prescription drug coverage. Many Medicare Advantage plans also have a cap on out-of-pocket expenses.

Drug Coverage with Medicare

Prescription drug coverage is available through Medicare Part D or through a Medicare Advantage plan that includes prescription drug coverage. It’s essential to consider your medication needs when choosing a Medicare plan.

How to Enroll in Medicare

Most people become eligible for Medicare when they turn age 65. The initial enrollment period starts three months before your 65th birthday and lasts for seven months. If you miss this period, you can sign up during the General Enrollment Period from January 1 to March 31 each year, but you may have to pay a late enrollment penalty.

Choosing Between Original Medicare and Medicare Advantage

Deciding between Original Medicare and Medicare Advantage depends on your healthcare needs and preferences. Original Medicare offers flexibility in choosing doctors and hospitals, while Medicare Advantage plans may provide additional benefits and lower out-of-pocket costs.