4 Parts of Medicare – 1 min
Medicare A & B Costs and Coverages – 7 min
Medicare B Higher Income Premiums – 5 min
Medicare A and B…
- You become eligible for Medicare A and B when you turn age 65, or if you are under 65 and have special circumstances
- Whether or not you need to enroll is depends on if you have creditable coverage (ask HTA for your specific Roadmap into Medicare situation)
- Medicare A and B is great baseline coverage but does not cover all of your medical expenses
What does Medicare Part A Cover?
Medicare Part A is your inpatient hospital coverage.
Medicare Part A is Premium FREE for most individuals. To qualify for Premium FREE Part A, either you or your spouse must have paid a minimum of 10 years of Medicare Taxes throughout your lifetime. You can qualify for Premium FREE Part A based on your spouses taxes if you don’t have 10 years of tax history.
What does Medicare Part B Cover?
Medicare Part B is your outpatient medical coverage.
Doctors, Specialists, Diagnostic Testing, Outpatient Surgery, Chemotherapy, Emergency Room, Hospital Observation, etc.
Medicare Part B Base Premium for 2021 is $148.50/month/Person
If you are in a higher income bracket, you will pay a higher premium:
Does Medicare A and B pay 100% of my medical expenses?
No. On average, Medicare pays about 80% of your medical expenses. There is no maximum out of pocket limit on your out of pocket share of the expenses. This is what makes secondary insurance so important.
There are also certain services that are not coverage by Medicare. See more information on what Medicare does not cover at medicare.gov