Generally, a Medicare health plan:
- Is offered by a private company
- Contracts with Medicare to provide Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) benefits
- Provides these benefits to people with Medicare who enroll in the plan
services and providers.
- Otherwise, you have to enroll yourself during your initial open enrollment period, which is three months before and after the month of your 65th birthday. If you miss your deadline for signing up for Medicare and don’t qualify for an exception, you can only enroll during Medicare’s general enrollment period from Jan. 1 to March 31.
Most people will sign up for Medicare Part A (which covers hospitalization, some nursing home and home health care, and hospice) when they turn 65 because it is usually free. (See information about Medicare costs for more details.) If you do enroll in Part A and also have coverage through the health insurance marketplaces, you will need to notify the insurer as soon as you qualify.
You must have Part A before you sign up for Part B, which covers doctor visits and other outpatient care, and before getting Part D’s prescription drug coverage. Both require monthly premiums, unless you qualify for financial subsidies. You should sign up for Part B– and avoid any late enrollment penalties– if:.
- You or your spouse has employer-sponsored health coverage from an employer with fewer than 20 workers.
- You or your spouse do not have health insurance.
- You’re eligible for health benefits under the military’s TRICARE For Life retiree program or have health coverage through Veterans Affairs.
- Check with the demonstration or pilot program for more information about how it works. To find out about current Medicare demonstrations and pilot programs, call us at 1-800-MEDICARE.
- Programs of All-Inclusive Care for the Elderly (PACE).
- PACE (Program of All-inclusive Care for the Elderly) is a Medicare/Medicaid program that helps people meet health care needs in community.
It’s easy if you receive Social Security retirement benefits: The Social Security Administration will automatically enroll you in Medicare when you turn 65. If you are under 65 and get disability benefits, the Social Security Administration will enroll you in Medicare after you have received benefits for 24 months.
What’s a Medicare MSA Plan? medicare plans in az
Medicare works with private insurance companies to offer you ways to get your health care coverage. These companies can choose to offer a consumer-directed Medicare Advantage Plan, called a Medicare MSA Plan. These plans are similar to Health Savings Account Plans available outside of Medicare. You can choose your health care
- Medicare MSA Plans have 2 parts
Medicare MSA Plans combine a high-deductible insurance plan with a medical savings account that you can use to pay for your health care costs.
1.High-deductible health plan: The first part is a special type of high-deductible Medicare Advantage Plan (Part C). The plan will only begin to cover your costs once you meet a high yearly deductible, which varies by plan.
- Medical Savings Account (MSA): The second part is a special type of savings account. The Medicare MSA Plan deposits money into your account. You can use money from this savings account to pay your health care costs before you meet the deductible
- Another type of Medicare Cost Plan only provides coverage for Part B services. These plans never include Part D. Part A services are covered through Original Medicare. These plans are either sponsored by employer or union group health plans or offered by companies that don’t provide Part A services.For more information about Medicare Cost Plans, contact the plans you’re interested in.
- Demonstrations/pilot programs
- Demonstrations and pilot programs, (also called “research studies”) are special projects that test improvements in Medicare coverage, payment, and quality of care. They usually operate only for a limited time for a specific group of people and/or are offered only in specific areas.