![]() ![]() You may have to use your plan’s network of doctors and providers for non-urgent care. You can go to any doctor or hospital in the U.S. Medicare Part C and Original Medicare have different costs and different rules regarding coverage for providers, services, and drug plans. How does Medicare Part C compare to Original Medicare? If your Medicare Part C covers dental benefits more extensively, you may have a higher monthly premium for that coverage. For example, some Medicare Part C plans might only cover “Medicare-covered dental benefits” - meaning dental care that’s needed for an accident or a disease of the jaw. Keep in mind, though, that not all Medicare Part C plans cover extra benefits in the same way. Routine hearing care, including hearing aids.Routine vision care, including contacts and eyeglasses.Routine dental care, including cleanings, X-rays, and dentures.Fitness benefits, including gym memberships and exercise classes.Medicare Part C may offer other perks too, such as: The approved drugs will be listed in the plan you select, so be sure to confirm that your medications are covered before you enroll. “You can choose a Medicare Advantage plan that comes with a drug benefit so you don’t have to pick up a separate Part D plan,” says Donovan. Original Medicare doesn’t offer drug coverage - which differs from Medicare Part C. What is Medicare Part C coverage for extra benefits? If you have Medicare Part C, you may have different copayments, coinsurance, and deductibles than you would with Original Medicare. Acupuncture (up to 12 acupuncture visits in 90 days for chronic low back pain).Preventive tests and vaccines, including flu shots and heart disease, diabetes, certain cancers, and depression screenings.Durable medical equipment such as walkers and wheelchairs.Doctor visits (including primary care doctor visits and specialist visits).But if you opt for Medicare Part C, you’ll get all the coverage of Part B, including: Outpatient care - meaning emergency or observational services, lab tests, or X-rays - is traditionally covered by Medicare Part B. What is Medicare Part C coverage for outpatient care? NEW TO MEDICARE? Learn what you need to know in 15 min or less. Find plans that cover your doctors, medications, and more. One important difference to know: Your out-of-pocket costs will vary for each type of plan.ĮHealth is here to make Medicare easy. (Medicare won’t, however, cover religious items.) ![]() Inpatient care in a religious non-medical health care institution, which includes inpatient hospital or skilled nursing facility care.You’ll qualify for home health services if you have trouble leaving your home without help or should stay at home due to your condition. Home health care, including part-time or intermittent skilled nursing care, physical therapy, and occupational therapy.Hospice care, which includes comfort care such as pain relief medications or equipment, hospice aide services, and other forms of care.Inpatient care in a skilled nursing facility, including semi-private rooms, meals, nursing and therapy services, and other medical services.This applies to long-term care hospitals, rehabilitation facilities, and psychiatric care in inpatient psychiatric facilities. Inpatient care in a hospital, including a semi-private room, general nursing, medication, and other hospital services and supplies that you’ll need.But if you opt for Medicare Part C, you still get all the coverage of Part A, including: Inpatient care - meaning you’ve been admitted to a hospital - is traditionally covered by Medicare Part A. What is Medicare Part C coverage for inpatient care? Think of Medicare Advantage as “bundled” plans: They include everything Original Medicare does and often more, such as coverage for prescription drugs, as well as vision, hearing and dental care. Here, we tackle your top questions about Part C plans so you can find the health insurance that best fits your life. “It’s regulated by the government but run by insurers.”īut that’s just the first important fact to know. “Medicare Advantage is basically a private Medicare,” says Caitlin Donovan, a spokesperson for the National Patient Advocate Foundation. And there’s Part C, which is also known as Medicare Advantage. There are Parts A and B for Original Medicare. When you’re new to the world of Medicare coverage, you might feel like you’re swimming in a giant bowl of alphabet soup. ![]() We break down the basics so you can choose a Medicare plan that fits your needs. But these plans also come with some restrictions. Medicare Part C - also known as Medicare Advantage - covers everything Original Medicare does, plus a few extra benefits. ![]()
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