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.
References
www.medicare.gov
MUC26-2017-SSI/CDIS
