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Demystifying Medicare: Understanding Part A and Part B

Turning 65 means entering the world of Medicare and a whirlwind of information that can be confusing and overwhelming. The best place to start making informed decisions is understanding the differences between Medicare Part A and Part B. Here's a quick breakdown of the two programs to help you start your new chapter on the right foot.

 

Part A: Your Hospital Haven

Think of Part A as your inpatient hospital insurance.     It covers inpatient hospital stays, skilled nursing facility care (for short-term rehabilitation), hospice care, and some home health services. Part A helps shoulder the financial burden of these often costly medical needs.

 

Part B: Beyond the Hospital Walls

Part B functions as your outpatient medical insurance. It comes with a monthly premium and covers a wider range of services you might receive outside a hospital setting. This includes doctor visits, preventive screenings, some lab tests, durable medical equipment, and outpatient mental health services. Part B also covers a portion of the cost of medically necessary ambulance services.

 

Putting it into Practice

Imagine Mary has recently turned 65. Due to her work history, she qualifies for premium-free Part A. Mary also decides to enroll in Part B to ensure coverage for upcoming doctor visits and screenings. While Part A would cover a hospital stay if needed, Part B would help with the associated doctor fees and some medications.

 

Understanding Your Options: Knowledge is Power

Medicare is a program with various moving parts and options. Taking the time to learn the distinctions between Part A and Part B is a crucial first step. Explore resources through the Social Security Administration (https://www.ssa.gov/) and Medicare websites (https://www.medicare.gov/) for in-depth information. You can also consult with a Medicare specialist for personalized guidance.

 

By understanding the different parts, you can make informed decisions about your healthcare coverage and confidently navigate your golden years. 

Medicare
  • Medicare: What you need to know
  • Are You Eligible for Medicare?
  • Medicare 2025 Costs at a Glance
  • Medicare-Related Enrollment Dates and Guidelines
  • What is Medicare Supplement (Medigap) Insurance?
  • Medicare Advantage Plans
  • Part D Prescription Drug Plans
  • Different Types of Medicare Advantage Plans
  • Compare Medicare Supplement plans side by side
  • Demystifying Medicare: Understanding Part A and Part B
  • Plans K and L Compared to Plans G and N
  • Where to Get Your Medicare Questions Answered
  • What to Consider When Choosing or Changing My Coverage
  • Get your Medicare & You Handbook

Samuel Tripp

People Over Profits

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At our firm, we believe health insurance should be simple, accessible, and centered around people—not profits. Our team of experienced professionals is dedicated to providing personalized service with honesty and integrity. Whether you’re an individual, family, or business, navigating the world of health insurance can feel overwhelming. We’re here to make it clear and manageable. From Medicare Advantage and Supplement plans to Marketplace coverage, group health plans, COBRA, ICHRA, POP-125, and even PEO solutions—we’ll help you understand your options and choose the coverage that fits your needs and budget. Even if you just need help making sense of your current policy, we’ll take the time to explain the details in plain language. With us, you’ll have a trusted guide every step of the way.

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Important disclosures about Medicare Plans: Medicare has neither endorsed nor reviewed this information. Not connected or affiliated with any United States Government or State agency. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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