Medicare in New Hampshire is a federal run health insurance program. The program is designed to offer insurance coverage to the state citizens who are 65 or older. Medicare is also available to those who may qualify because of a disability or another special situation. Medicare enables American seniors and disabled individuals to pay off their health care costs without straining their hard earn budget.
Medicare benefits can be availed in two ways. It may be received through the federal Original Medicare (Parts A & B) from federal government plan or through a Medicare-approved private insurer. Private insurers offers additional benefits like prescription drug coverage (Medicare Advantage plans (Part C) and Medicare Part D drug coverage plans).
Medicare Part A:
Federal controlled original Medicare plans comprise Medicare Part A (hospital insurance) and Medicare Part B (medical insurance). Medicare Part A is designed to cover Medicare inpatient care that includes health care received while in a hospital, a skilled nursing facility, and, in limited circumstances, at home.
If a person is already getting the benefits from the Social Security Administration or the Railroad Retirement Board, he is eligible for Medicare part A. In addition, the beneficiary must be a legal permanent resident of at least five continuous years.
Medicare Part A beneficiaries receives coverage for hospital expenses incurred spent on your inpatient care, such as a semi-private room, meals and nursing services etc., medications that are part of your inpatient treatment, and any other services and supplies from the hospital. Beneficiaries can avail inpatient care via a range of health care facilities that include acute care hospitals, critical access hospitals, and inpatient rehabilitation facilities etc.
Medicare Part B:
Medicare Part B (medical insurance) is another important part of Original Medicare. The program covers medical services and supplies that are required while you are undergoing treatment. The coverage includes outpatient care, preventive services, ambulance services, and durable medical equipment. Medicare Part B also offers coverage for intermittent home health and rehabilitative services.
If someone is already receiving premium-free Medicare Part A can get Medicare Part B by enrolling and paying a monthly premium. On the contrary, if you are not eligible for premium-free Medicare Part A, still you can get Medicare part B benefits if you’re 65 years or older or a U.S. citizen, or a permanent resident lawfully residing in the U.S for at least five continuous years.
Beneficiaries who are receiving retirement benefits before age 65 or qualify for Medicare through disability are automatically enrolled in Medicare Part A and Part B
Medicare Part C (Medicare Advantage Plan):
Medicare Part C, also called Medicare Advantage plans in the state are offered by private insurance carriers. You can get a Medicare Advantage plan if you currently enrolled in Original Medicare, Part A and Part B. These plans provide benefits in coordination with Medicare Part A and Part B benefits (hospital and medical) for beneficiaries.
You are required to buy Medicare Advantage plan if you want to cover everything that Original Medicare covers including emergency and urgent care. However, it doesn’t include Hospice care. You can differentiate between Original Medicare and a Medicare Advantage plan in the way you pay out the expenses. With Medicare Advantage plans, you may have benefit of lower co-payments and coinsurance or a smaller deductible.
Medicare Part D (Prescription Drug Coverage):
Medicare Part D coverage in New Hampshire is available for Medicare beneficiaries who wish to get help paying for prescription drug costs. You have a couple of ways to get this coverage, depending on whether you’re enrolled in Original Medicare (Part A and Part B) or a Medicare Advantage plan. In New Hampshire, Medicare Part is optional, however if you don’t enroll on eligibility, late enrollment may end up with a late-enrollment penalty.
A beneficiary who is enrolled in original Medicare can also receive Medicare Part D coverage through a stand-alone Medicare Prescription Drug Plan. Therefore, if you are receiving a Medicare Advantage plan, you may opt for the Medicare Advantage Prescription Drug Plan. In state, prescription drug plans differ from carrier to carrier.
Please do note if your prescription Drug Plan comes with a annual deductible, you’re required to pay the full amount of your prescription drug purchases until the deductible is met. Once the deductible is met, you need to pay a share of the costs according to the terms and structure of your plan. The amount could be a flat amount (copayment) or a percentage of the total amount (coinsurance).