Page 2 - 2021 Lockton Companies Medicare Fact Sheet
P. 2
Medicare coverages
Part A Part B Part C Part D
Coverage for hospital stays, Coverage for other medical Part C is called the “Medicare Part D is an optional outpatient
skilled nursing facility care, and physician services, clinical Advantage” program. In prescription drug beneit. Like
home healthcare, hospice care, laboratory services, home essence, it is enhanced Medicare Part C, drug beneits under Part
blood transfusions (inpatient) healthcare, outpatient hospital coverage provided by a private D are provided through private
and inpatient prescription drugs. services and blood transfusions health insurer. Part C offers “Part D plans” that have been
There are deductibles, copays (outpatient). Here, too, there enrollees a trade-off: Enrollees approved by Medicare.
and/or coinsurance amounts are deductibles, copays and/ are usually restricted to using
that apply, depending on or coinsurance amounts (or have inancial incentives
where and how much care the that apply, in addition to the to use) network providers, but
Medicare enrollee receives. monthly premium. often receive more generous
beneits. To enroll in a Part
C plan, a person must be
enrolled in Parts A and B, and
must pay the monthly Part B
premium in addition to any
applicable monthly Medicare
Advantage premium.
In addition to these programs, some Medicare enrollees also purchase private “Medigap” insurance policies.
These policies ill in the “gaps” in Medicare basic coverage (Parts A and B). Medigap coverage pays some or
all medical expenses not paid by Part A or B, except for the Part B deductible. There are many standardized,
Medicare-approved policies to choose from, though insurers may not offer all of these plans in a given area.
Various beneit levels and premiums are available.
2 | Medicare Fact Sheet 2021
Part A Part B Part C Part D
Coverage for hospital stays, Coverage for other medical Part C is called the “Medicare Part D is an optional outpatient
skilled nursing facility care, and physician services, clinical Advantage” program. In prescription drug beneit. Like
home healthcare, hospice care, laboratory services, home essence, it is enhanced Medicare Part C, drug beneits under Part
blood transfusions (inpatient) healthcare, outpatient hospital coverage provided by a private D are provided through private
and inpatient prescription drugs. services and blood transfusions health insurer. Part C offers “Part D plans” that have been
There are deductibles, copays (outpatient). Here, too, there enrollees a trade-off: Enrollees approved by Medicare.
and/or coinsurance amounts are deductibles, copays and/ are usually restricted to using
that apply, depending on or coinsurance amounts (or have inancial incentives
where and how much care the that apply, in addition to the to use) network providers, but
Medicare enrollee receives. monthly premium. often receive more generous
beneits. To enroll in a Part
C plan, a person must be
enrolled in Parts A and B, and
must pay the monthly Part B
premium in addition to any
applicable monthly Medicare
Advantage premium.
In addition to these programs, some Medicare enrollees also purchase private “Medigap” insurance policies.
These policies ill in the “gaps” in Medicare basic coverage (Parts A and B). Medigap coverage pays some or
all medical expenses not paid by Part A or B, except for the Part B deductible. There are many standardized,
Medicare-approved policies to choose from, though insurers may not offer all of these plans in a given area.
Various beneit levels and premiums are available.
2 | Medicare Fact Sheet 2021