Medicare Questions? Call or Text Michael - Broker 719-465-8547
healthquotes logo white

Understanding Your Coverage Options

Medicare-Colorado

Medicare Basics: Understanding Medicare

What Is Medicare

Medicare is a federal health insurance program designed primarily for people who are 65 or older, certain younger individuals with disabilities, and people with End-Stage Renal Disease. It's divided into different parts to cover specific services.

The Four Parts of Medicare

  • Medicare Part A (Hospital Insurance): Covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
  • Medicare Part B (Medical Insurance): Covers certain doctors' services, outpatient care, medical supplies, and preventive services.
  • Medicare Part C (Medicare Advantage Plans): A type of Medicare health plan offered by private companies that contract with Medicare to provide all your Part A and Part B benefits.
  • Medicare Part D (Prescription Drug Coverage): Adds prescription drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private-Fee-for-Service Plans, and Medicare Medical Savings Account Plans.

Original Medicare vs. Medicare Advantage

When you first enroll in Medicare, you'll need to choose between Original Medicare (Part A and Part B) and Medicare Advantage (Part C). Here's a quick comparison:

Original Medicare

  • Run by the federal government
  • Allows you to go to any doctor or hospital that accepts Medicare
  • You pay a deductible and coinsurance for covered services
  • You can add a separate Part D plan for drug coverage
  • You can purchase supplemental coverage (Medigap) to help pay out-of-pocket costs

Medicare Advantage

  • Run by private insurance companies approved by Medicare
  • Usually requires you to use doctors in the plan's network
  • May have lower out-of-pocket costs than Original Medicare
  • Usually includes Part D drug coverage
  • May offer extra benefits like vision, hearing, and dental coverage

Costs Associated with Medicare

Understanding the costs associated with Medicare is crucial for budgeting your healthcare expenses. Here are some key terms and concepts:

  • Premiums: The monthly amount you pay for your Medicare coverage.
  • Deductibles: The amount you must pay for health care or prescriptions before Original Medicare, your prescription drug plan, or your Medicare Advantage Plan begins to pay.
  • Copayments: An amount you may be required to pay as your share of the cost for a medical service or supply, like a doctor's visit or prescription drug.
  • Coinsurance: An amount you may be required to pay as your share of the cost for services after you pay any deductibles.

Need Help Understanding Your Medicare Options?

Medicare can be complex, but you don't have to navigate it alone. Our team of Colorado Medicare experts is here to help you understand your options and choose the coverage that's right for you.

HealthQuotes.com © 2025 Copyright All rights reserved. Medicare Health Insurance Quotes We Serve Colorado Call or Text Medicare Insurance Broker Michael Horvat 719-465-8547 Medicare Health Insurance. -- NOTE: This website is for informational purposes only. Please verify any questions regarding your situation with Colorado Licensed Insurance Broker Michael Horvat. -- Colorado Health Insurance Quotes | Medicare Medigap & Supplements | Original Medicare vs Medicare Advantage | Colorado Group Health Insurance Free Quote | Medicare Part A & Medicare Part B Medicare Part C | Colorado Individual Health Insurance | Colorado Family Health Insurance Questions? | Colorado Small Business Health Insurance.