Medicare Part B & Medicare Part A (Explained)

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Learn what you need to know about Medicare Part B and Medicare Part A, including Medicare deductibles and Medicare copays. We are independent Medicare Insurance brokers.
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Do I really need a Medicare Part D plan even if I take no prescription?
I am asked this question every week. This video is my answer. I explain why and how the financial penalty for not having a Medicare Part D drug plan should not be the real reason you consider when make the decision.
Make sure your insurance broker is a true independent insurance broker able to offer you unbiased advice. When it comes to Medicare, experience counts.

Most insurance agents simply explain that Medicare Part A is your inpatient hospital coverage and Medicare Part B is outpatient coverage. While that is technically true, it ignores the potential pitfalls and surprises are in the details of the plans. Part A operates very differently that Part B. It’s in these details that Part A is misunderstood and can lead to surprises and significant unexpected health costs for the Medicare beneficiary.

Medicare Part A offers health insurance coverage in time units called “Benefit Periods”. A benefit period begins the day you are admitted as an inpatient in a hospital. The benefit period ends when you have not been an inpatient in either a hospital or skilled nursing facility for 60 consecutive days. You can have an unlimited number of benefits periods. Note: your skilled nursing benefits only take effect after you have a qualifying hospital stay (i.e. an admitted inpatient for 3-days)


Your Part A hospital coverage after you pay the deductible is:

1-60 days 100%
61-90 days patient pays $315 / day co-pay up to $9,450
91-150 days patient pays $630 / day co-pay up to $37,800
151 days or more not covered

For Part D drug plan info visit: http://www.medicare.gov
Also visit: https://en.wikipedia.org/wiki/Medigap
Get your Medicare Guide to supplements here: https://www.medicare.gov/Pubs/pdf/021...
And your Medicare & You Guide here: https://www.medicare.gov/pubs/pdf/100...

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