Medicare Coverage Overview

Most people understand that Medicare in Illinois is the federal system of health insurance for people 65 or older and people with certain disabilities. Beyond that, the details start to get more complicated.

What’s the most common request for help we receive? Our insurance specialists are most commonly asked to help explain the difference between the parts of Medicare and where supplemental insurance figures in.

The different parts of Medicare can be a little confusing so we’ve broken it down as simply as possible to help explain. After reading through our overview, feel free to explore our article library for more in-depth information. If you have specific questions and want immediate answers, pick up the phone and call us to have one of our insurance specialists provide clear and helpful answers to get you on the right track.


ORIGINAL COVERAGE (Traditional Medicare)

Medicare Part A – Hospital Insurance
In Brief:

  • Helps cover inpatient care in hospitals
  • Helps cover skilled nursing facility, hospice, and home health care
  • Provides partial coverage of Medicare approved cost

Medicare Part B – Medical Insurance
In Brief:

  • Helps cover doctors’ services, hospital outpatient care, and home health care
  • Helps cover some preventive services to help maintain health and keep certain illnesses from getting worse
  • Helps cover some of the durable medical equipment costs
  • Typically covers 80% of the Medicare approved cost

Medicare Part C (Also called Medicare Advantage)
In Brief:

  • Health plans run by private, Medicare-approved insurance companies
  • Include Part A and Part B (above)
  • May contain other coverage like Part D prescription drug coverage costs

DRUG COVERAGE

Medicare Part D – Medicare Prescription Drug Coverage
In Brief:

  • A prescription drug option run by Medicare-approved private insurance companies
  • Helps cover the cost of prescription drugs
  • May help lower your prescription drug costs and help protect against higher costs in the future
  • You need Part A and Part B coverage to enroll in Part D