Chat with us, powered by LiveChat

Medicare Part A and B

Like most seniors in Illinois, there’s a good chance you’ve heard of Medicare – you may even know that it’s a federally funded health insurance program. But if you’re not enrolled, you may not understand in detail the different parts of the program and how they work together to provide health insurance coverage.

Part A – Hospital Insurance

Medicare coverage in Illinois is divided into several parts, which are differentiated by letters of the alphabet. Part A is one of the basics, providing hospitalization coverage, including hospital stay, skilled nursing facility care, home health care (skilled nursing, physical therapy), and hospice care. For most people, Part A is premium-free, meaning there is no charge for coverage as long as you meet a few basic eligibility requirements.

Generally, as long as you are a permanent resident of the United States and you or a spouse paid Social Security taxes while employed, enrollment is automatic. While Part A is free, there are deductibles and co-insurance that you are responsible for paying.

Part B – Medical Expenses

Medicare Part B covers expenses that are medically necessary to treat or prevent a disease or condition. Other fees that occur outside of room and board while in the hospital – are those related to diagnostic testing, preventative care, and the supplies needed to diagnose or treat medical conditions. Fees for visiting the doctor are also included.

The standard premium amount in 2023 is $164.90 (or higher depending on your income). However, most people who get Social Security benefits pay less than this amount. If you pay your premium through your monthly Social Security benefit, you’ll pay less. Social Security will tell you the exact amount you’ll pay in 2023.

 

Get a Quote

 

References

www.medicare.gov

MUC26-2017-SSI/CDIS

Testimonial Suzon was very pleased with Lilly being professional, knowledgeable and great at what she does. S. Lanz, Woodridge
Testimonial Debbie was so polite. She didn’t make me feel incompetent when I didn’t understand something. S. Scheibly, Decatur
Testimonial Kathleen was helpful and provided me with information quickly! M. Greaney, Oak Lawn

Latest News

Read all the news

Medicare Part B Penalties

Illinois seniors delight in learning how much Medicare can help with the rising costs of healthcare. Controlling chronic pain or debilitating…
Read more

Medicare Readiness Checklist

9 to 12 months before you turn 65 Confirm that you are eligible to receive Medicare by calling the Social…
Read more

Medicare Part A and B

Like most seniors in Illinois, there’s a good chance you’ve heard of Medicare – you may even know that it’s…
Read more

I’m Getting Ready to Retire, But I’m Past 65 – What Now?

Often, Illinois seniors choose to enroll in Original Medicare when they are first eligible, at age 65, during their Initial…
Read more

Understanding Medicare Enrollment Periods

If you’re looking to secure a Medicare-approved healthcare plan in Illinois, do you know when you are eligible to enroll?…
Read more