Medicare ChartArchivist PHA2017-03-15T18:14:37-04:00
Medicare Comparison Chart
(Medicare Private Plans)
(Prescription Drug Coverage)
- Inpatient hospital care
- Skilled nursing facilities (excluding long-term care)
- Some healthcare
- Doctors’ visits and most medically necessary doctors’ services
- Outpatient hospital care
- Durable medical equipment (DME)
- Prescription drugs that require DME to administer
- Preventative care
- X-rays & lab tests
- Mental health care
- Flolan®, Veletri® or generic epoprostenol
- DME (e.g., home oxygen)
- Pulmonary rehabilitation (PR)
* You may be limited to 36 PR sessions per lifetime
- Allows members the option to select a privately managed care plan to replace original Medicare and its benefits.
- Plans must provide all Part A & B services (may provide additional coverage), but may do so with different rules, costs and restrictions.
- Part C is not a separate benefit.
- Optional outpatient prescription drug coverage provided through private insurance companies.
- Buying into Part D depends on your personal drug needs.
Learn more about choosing a plan that meets your needs
- No premium
Part A is free if you or your spouse have worked and paid Social Security taxes for at least 10 years.You will pay a monthly premium if you have worked and paid taxes for less than 10 years.
Part A Cost Breakdown 2016
- Monthly premium ($121.80)
- Annual deductible ($166)
- Coinsurance/ copayments
Part B Cost Breakdown 2016
- Varies from plan to plan.
In 2016, your annual deductible cannot be more than $360. Average national premium is $34.10.
- Premiums and deductibles do not apply and copayments will be lower if you are enrolled in Extra Help – a federal program designed to help low-income individuals cover the cost of their prescription drugs.
- High out-of-pocket costs during the coverage gap until you reach a catastrophic limit.
- You may be charged an additional, permanent fee if you decline the Medicare Part D benefit when it is first offered to you and then later decide to purchase a Medicare Part D plan.
Part D Cost Breakdown 2016
||Medigap: Optional Plans to Supplement Original Medicare (Parts A & B)
Original Medicare does not cover everything. In addition to retirement options through employers, individuals eligible for Medicare have the choice of purchasing a Medigap (Medicare Supplement) policy that would help cover some of the gaps in Original Medicare’s coverage.
Depending on where you live, there are ten standard Medigap plans, A-N.* Plan A is generally the cheapest (offering the least amount of additional benefits) and Plan L the most expensive (offering more benefits). However, coverage and premiums vary among plans depending on the company you buy it from.
*As of June 1, 2010, Medicare introduced two new plans, M and N. Plans E, H, I and J will no longer be offered, but Medicare consumers who already have these plans will be able to keep them.
Next: Medicare Part D Chart »