Medicare in Maryland

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Maryland Medicare Plans

Original Medicare is a federal run health insurance program that provides hospital and medical insurance coverage for people aged 65 or over.

People who are United States citizens or legal, permanent residents of at least five continuous years are eligible for the program.

Medicare Part A:

Medicare Part A is an integral part of federal’s original Medicare program that covers a variety of health-care services and medical equipment during your treatment. The benefits of Medicare include hospital services, skilled nursing facility care, hospice care, and certain home health services.

Medicare Part A offers coverage for inpatient hospital care in general hospitals, long-term care hospitals, acute care or critical access hospitals and rehabilitation facilities etc.

In hospital care, the Medicare offers coverage for semi-private room stays, meals and general nursing care. The benefit also includes medications administered during your hospital stay

Medicare Part B:

Medicare Part B, another important component of original Medicare offers coverage of for services and supplies, including doctor visits, preventive care, and durable medical equipment. Following are the comprehensive list of services that Medicare part B covers:

  • Ambulance services
  • Chemotherapy
  • Diagnostic tests and lab work
  • Doctors services
  • Durable medical equipment (DME)
  • Home health services
  • Outpatient physical, speech, and occupational therapy services
  • Outpatient mental health services
  • X-rays

Medicare Advantage (C) Plans:

Medicare C also called Medicare Advantage plans are an alternative to Original Medicare (Part A and Part B). Medicare Advantage plans in Maryland are offered by private health insurance companies in compliance with Medicare. The Medicare advantage plan must include additional coverage such as routine vision or dental benefits as well. Following are the Medicare advantage plans available at your locations:

  • Health Maintenance Organization (HMO) plans
  • Preferred Provider Organization (PPO) plans
  • Private Fee-for-Service (PFFS) plans
  • Special Needs Plans (SNPs)
  • Medicare Medical Savings Account (MSA) plans

People enrolled for the Medicare A and B are automatically enrolled for Medicare Part C. Moreover, to be eligible, you must be living in the plan’s service area and do not have end-stage renal disease (ESRD).

Medicare Part D Prescription Drug Coverage:

Medicare beneficiaries across the nation have the option of enrolling in Medicare Part D to get help with their prescription drug costs. A beneficiary can opt for the prescription drug coverage by enrolling in a stand-alone Medicare Prescription Drug Plan since Original Medicare (Part A and Part B) merely doesn’t stand for Medicare part D eligibility.

Similarly, a person eligible for Medicare Part D can enroll in a stand-alone Medicare Prescription Drug Plan.

In case you haven’t yet taking prescription medications, it’s recommended to subscribe for Medicare Part D. as soon as you’re first eligible. As mentioned, you’re eligible for Medicare Part D once you have Medicare Part A and/or Part B, and live in the service area of a Medicare plan that includes prescription drug coverage.

If you don’t enroll in Medicare Part D and continue without coverage for 63 days in a row or even more, you could face a late-enrollment penalty. The penalty could be in the form of an extra cost that is added to your monthly Medicare Part D premium.

That means, if you don’t sign up for the prescription drug coverage when you’re first eligible, you may end up paying higher premium for your insurance plan.

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