Medicare is a federal run health insurance program in North Carolina. It’s designed to serve budget to senior citizens aged 65 or over for their health care expenses. Citizens under 65 can opt for the Medicare if they are diagnosed with certain approved medical conditions (such as Lou Gehrig’s disease) or qualifying permanent disabilities.
Medicare comprises of programs namely Medicare Part A, Part B, Part C and Part D. Medicare part A and B are called Original Medicare. Medicare Part C (Medicare Advantage) is a private health insurance. Medicare Part D is also prescription drug coverage plan.
Medicare Part A in North Carolina:
Medicare Part A is also called hospital insurance. It offers coverage for inpatient hospital care, skilled nursing care facility for limited period, limited home health care services, and hospice care services.
Most of the people who buy Medicare Part A don’t have to pay a monthly premium to receive coverage. This is known as premium-free Part A. A person worked at least 10 years (40 quarters) and paid Medicare taxes during the period can obtain premium-free Part A.
To note, Medicare Part A doesn’t offer full coverage for your hospital bill. Therefore, beneficiary has to pay a share in the cost. Furthermore, if your Medicare benefits are yet to begin, you will have to pay a deductible. One you start reconvening Medicare benefits, Medicare will pay 100% of your costs for up to 60 days in a hospital or up to 20 days in a skilled nursing facility.
North Carolina Medicare Part B:
Medicare Part B, also called medical insurance is another important part of Original Medicare. The program covers medical services and supplies that are deemed while you’re under treatment. The coverage includes outpatient care, preventive services, ambulance services, and other cost incurred on durable medical equipment.
You can find coverage for some preventive services under Medicare Part B that may include flu and hepatitis B shots, cardiovascular screenings, cancer screenings and diabetes screenings etc. If you are using premium-free Medicare Part A, you’re eligible for Medicare Part B by enrolling and paying a monthly premium.
On the contrary if you’re not eligible for premium-free Medicare Part A, you can get advantages of Medicare Part B if you’re 65 years or older or permanent residing in the U.S for at least five continuous years.
Medicare Part C North Carolina:
Medicare Part C or Medicare advantage plan combines the benefits of Medicare Parts A & B (Original Medicare) into one plan. The only difference between the original Medicare and Medicare Advantage is that Medicare Part C is offered through private insurers. Medicare Advantage Plans must include the benefits that Original Medicare covers. There are some Medicare Advantage (Part C) plans that offer coverage for prescription drug coverage and routine eye and dental care coverage.
In addition to that, Medicare Advantage plans are bound to have an annual maximum cap on out-of-pocket costs. This means if you reach the threshold, you will pay nothing for additional covered medical services.
North Carolina Medicare Part D:
Original Medicare offer coverage for drugs administered during hospital or doctor visits. However, the coverage doesn’t include medications required that you have to take once your visit to the doctor completes. Most people who qualify for Medicare Parts A & B, can choose to supplement that coverage with Medicare prescription drugs coverage.
Medicare Part D or prescription drug coverage includes common generic and brand name prescription drugs under the supervision of government led regulatory compliances. To note, the prescription drugs coverage and benefits differ from one plan to the other. This is therefore crucial to verify that the plan you buy covers the prescription drugs you want to buy coverage for.