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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 Resources
  • Are You Eligible for Medicare?
  • Medicare: What you need to know
  • Medicare-Related Enrollment Dates and Guidelines
  • Medicare 2025 Costs at a Glance
  • Where to Get Your Medicare Questions Answered
  • What to Consider When Choosing or Changing My Coverage
  • Get your Medicare & You Handbook

North Shore Senior Healthcare, LLC

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North Shore Senior Healthcare is a licensed, independent Medicare insurance agency which makes Medicare easy for beneficiaries living in Massachusetts or New York. Whether you are new to Medicare or already have Medicare, North Shore Senior Healthcare can help you reduce the complexity and hassle of Medicare insurance. I am Bill Bullen, principal of North Shore Senior Healthcare. I am certified by the federal government, licensed by the Commonwealth of Massachusetts and the State of New York; contracted, certified and appointed by many Medicare insurance carriers and have a broad set of solutions for all eligible Medicare beneficiaries living in MA and NY.

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North Shore Senior Healthcare will not deny or discourage you from enrollment regardless of race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claim experience, medical history, genetic information, evidence of insurability, or sexual orientation. We do not offer every plan available in your area. Currently, we represent 5 organizations which offer 35 plans in your area. Please contact medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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