Medicare Coverage - 2009 Medicare Explained with Toll Free Phone Numbers

» 2009 Medicare Fact Sheet

2009 Medicare Fact Sheet

Part A: “Hospital Insurance”, covers inpatient hospital, certain skilled nursing and skilled home health services. It does not cover long term or custodial care.

Part B: “Outpatient Services”, covers Medicare eligible physician’s services, outpatient hospital services, certain home health services or therapies, and durable medical equipment.

Part D: “Prescription Drug Coverage”, offered through stand alone plans via private insurers or as part of a Medicare Advantage Plan.

Medicare Advantage Plan (AKA Part C): Health Plans such as PPOs and HMOs that are approved by Medicare and run by private companies. They may include additional benefits not covered by regular Medicare and may require you to use networks of providers and follow other restrictions.

Medigap Plan (AKA Supplemental Policy): These policies help pay some of the costs not covered by regular Medicare (such as co-pays/deductibles).

2009 Medicare #s:

Medicare A Premium:

$0 if you or spouse has 40+ quarters of Medicare-covered employment
$244 with 30-39 quarters of Medicare-covered employment
$443 with 29 or less quarters of eligible employment

Medicare B Premium:

$96.40*

Medicare A Co-Insurance:

$1068 deductible/$0 coinsurance for days 1-60
$267/day for days 61-90
$534/day for up to 60 additional “lifetime reserve” days after 90 days
All costs beyond 150 days, or once lifetime reserve days used past 90 days.

Medicare B Deductible:

$135/year

Medicare A Skilled Nursing Care:

pays 100% up to 20 days
$133.50/day co-pay for patient for days 21-100.

*If your income is above $85,000 for a single individual and $170,000 for a married couple, the premium will be scaled higher, up to $238.40.

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Reference: www.medicare.gov or 1-800-MEDICARE