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What and How is Original Medicare Used?

Original Medicare is the traditional, fee-for-service Medicare program provided by the federal government. It consists of two parts: Part A and Part B. If you are new to Medicare, there are many options one can explore. Please BOOK AN APPOINTMENT if you have any questions or concerns. Here's a breakdown of what they cover and how it works:

What Original Medicare Covers:

Medicare Part A (Hospital Insurance):

  • This covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care.
  • Essentially, it helps pay for care you receive when you're admitted to a hospital or other qualifying facility.

Medicare Part B (Medical Insurance):

  • This covers doctor's services, outpatient care, preventive services, and medical supplies.
  • It helps pay for things like doctor's visits, lab tests, and medical equipment.

How Original Medicare Is Used:

Fee-for-Service:

  • Original Medicare operates on a fee-for-service basis. This means that Medicare pays directly to healthcare providers for the services you receive.
  • You can generally go to any doctor, hospital, or other healthcare provider in the United States that accepts Medicare.

Paying Your Share:

While Original Medicare covers a significant portion of your healthcare costs, you'll typically be responsible for:

  • Deductibles: The amount you pay before Medicare starts paying.
  • Coinsurance: A percentage of the cost you pay after you meet your deductible.
  • Copayments: A fixed amount you pay for certain services.

Flexibility:

  • One of the key advantages of Original Medicare is its flexibility. You don't need referrals to see specialists, and you can choose from a wide range of providers nationwide. It is not like Medicare Advantage (Part C).

Things to Consider: