{"id":14368,"date":"2024-10-31T16:29:14","date_gmt":"2024-10-31T16:29:14","guid":{"rendered":"https:\/\/nhcoa.org\/es\/?p=14368"},"modified":"2024-10-31T16:31:38","modified_gmt":"2024-10-31T16:31:38","slug":"get-to-know-medicare","status":"publish","type":"post","link":"https:\/\/nhcoa.org\/es\/get-to-know-medicare\/","title":{"rendered":"Get to Know Medicare"},"content":{"rendered":"\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/nhcoa.org\/es\/wp-content\/uploads\/2024\/10\/Blog-header-2024-10-31T100815.383-1024x576.png\" alt=\"\" class=\"wp-image-14369\" style=\"width:550px\" srcset=\"https:\/\/nhcoa.org\/es\/wp-content\/uploads\/2024\/10\/Blog-header-2024-10-31T100815.383-980x551.png 980w, https:\/\/nhcoa.org\/es\/wp-content\/uploads\/2024\/10\/Blog-header-2024-10-31T100815.383-480x270.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-7ef6f60713c3949a4403a6d38123184d wp-block-paragraph\" style=\"font-size:15px\">If you\u2019re<strong> getting close to 65 years old<\/strong>, you may be wondering about <strong>Medicare<\/strong>. With the recent announcement of improvements to Medicare Part D, many are likely wondering how Medicare works in the first place, whether or not they qualify, and what \u201cPart D\u201d even means.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-23972f8f4dfe79c6734966dfac952496 wp-block-paragraph\" style=\"font-size:15px\">Read on to learn more about Medicare, and how you can receive its benefits.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-dec230d2735fa6a6b5a1a05f81f64ba5 wp-block-paragraph\" style=\"font-size:16px\"><strong>What is Medicare?<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-59264117b3495932ae9b316b793e4d9f wp-block-paragraph\" style=\"font-size:15px\">Medicare is health insurance specifically made <strong>available for people who are 65 years and older<\/strong>. Recipients may be retiring, and losing the health insurance received from their employer. They could still be working, but perhaps their employer\u2019s provider does not meet their needs, or is unable to sufficiently lighten the financial burden of their medical expenses.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-cadbf9dcee05fac878005e18fe19ba92 wp-block-paragraph\" style=\"font-size:15px\">In any case, <strong>Medicare is designed to help older adults receive and afford the health care they require<\/strong>. It is also available for individuals who have various disabilities, End-Stage Renal Disease, or ALS (Lou Gehrig\u2019s Disease).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-ee361c62d08703b10f7f67e6c978f2dd wp-block-paragraph\" style=\"font-size:16px\"><strong>How do I receive Medicare?<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-d487f312a24f38693a3277e15ed1ab7b wp-block-paragraph\" style=\"font-size:15px\">If you are planning to receive retirement benefits when you turn 65, <strong>you will have applied at least 4 months prior to your birthday for Social Security benefits<\/strong> (or the Railroad Retirement Board). In doing so, you will be automatically enrolled in what\u2019s called<strong> \u201cOriginal Medicare.\u201d<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-bf5911874ad0f02be9c2e9e5c230a30b wp-block-paragraph\" style=\"font-size:15px\">However, there is an increasing number of people who will not receive Social Security benefits when they reach 65. S<strong>ocial Security benefits are based on your lifetime earnings in Social-Security-covered employment<\/strong>. So for people with employment patterns that don\u2019t fit this description, or people like late-life immigrants who have not been employed in the United States for very long, Social Security benefits may not be an option.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-0f12b4e2e1721af6558f82082fa9b000 wp-block-paragraph\" style=\"font-size:15px\">Until this is amended on a policy level, folks without these benefits will need to apply for Medicare, and receive a plan based on their income and expenses. <strong>You can do so via <a href=\"http:\/\/medicare.gov\">medicare.gov <\/a>or by calling 1-800-MEDICARE<\/strong>. If you require assistance, please consider the NHCOA Resource Center Hotline, at 202-658-8864.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-339a9d276f896f56e7091a7fd89f853f wp-block-paragraph\" style=\"font-size:16px\"><strong>What does a Medicare Plan Look like?<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-90f04fadf6c313173275927765f9c371 wp-block-paragraph\" style=\"font-size:15px\">There are four \u2018parts\u2019 of Medicare that recipients may receive a combination of. Retirees are automatically enrolled in what is called \u201cOriginal Medicare,\u201d which is a combination of Parts A &amp; B. Many recipients also choose to enroll in Part D, as an addition to their plan. Part C is known as \u201cMedicare Advantage,\u201d and is a bundled plan that includes Parts A, B, and D.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-5571d193944d726e1b616e4022970937 wp-block-paragraph\" style=\"font-size:15px\"><strong>Part A, Hospital Insurance:<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-995e7f872d13d1b1d79b4f28a93bad96 wp-block-paragraph\" style=\"font-size:15px\">This aspect of a Medicare plan is responsible for all manners of <strong>inpatient care<\/strong>. This is the insurance used when an enrollee requires stay in a hospital, skilled nursing facility, or hospice; it may even cover instances of home health care.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-80f3954d507b06ce6893732a87c1df6a wp-block-paragraph\" style=\"font-size:15px\"><strong>Part B, Medical Insurance:<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-aa05d018d650ec680c455abc09a24443 wp-block-paragraph\" style=\"font-size:15px\">Routine measures of healthcare like various <strong>appointments with doctors and healthcare providers<\/strong> are covered in Part B, along with screenings, vaccinations, and general \u201cwellness\u201d visits. It also includes any equipment necessary to an enrollee\u2019s condition or treatment, like wheelchairs and more.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-7fb5a56c795e6d70e903888e20ee776f wp-block-paragraph\" style=\"font-size:15px\"><strong>Part D, Drug Insurance:<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-f6ba3b78d6f0f64048437d609f5e13e3 wp-block-paragraph\" style=\"font-size:15px\">Part D was created to account for high costs that have become common in <strong>prescription drugs<\/strong>. Enrollees may be prescribed a medication\/drug that is quite expensive, and being enrolled in Part D helps to curb the financial burden of these prescriptions.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-5cbf62ee11354bda9c6fd06affd7c0ee wp-block-paragraph\" style=\"font-size:15px\">This aspect of Medicare was recently improved to help enrollees manage their finance with a payment plan option and a cap to out-of-pocket costs. Read more about these improvements in our previous blog post, <a href=\"https:\/\/nhcoa.org\/es\/changes-to-come-for-medicare-part-d-recipients\/\">here<\/a>.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-83f5fe490b6e29a4618a8919ea69e6e5 wp-block-paragraph\" style=\"font-size:15px\"><strong>Part C, Medicare Advantage:<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-f10b465e2f7bc0cf25f524275985854a wp-block-paragraph\" style=\"font-size:15px\">The primary difference in enrolling in Medicare Advantage, as opposed to Original Medicare, is that your plan comes from a Medicare-approved private company. This approved company covers a bundle of Parts A, B, and usually D.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-673683ee543324b4c2f73e90af8cb240 wp-block-paragraph\" style=\"font-size:15px\"><strong>Medicare Advantage, can be quite advantageous, but it requires some adaptability<\/strong>. You will likely need to find a Primary Care Provider that is within the plan\u2019s network, meaning if you had a previous PCP, they may not take your new plan. The out-of-pocket costs are also likely to differ from Original Medicare, as well as across different Medicare Advantage Plans. You will need to shop around and find the correct provider and plan that fits your needs, but it may be worth it as Medicare Advantage plans may offer additional benefits that are not seen in Original Medicare.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-204edebe2df3df0ce420eefba1ff3d4e wp-block-paragraph\" style=\"font-size:15px\"><strong>Medigap, Medicare Supplemental Insurance:<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-a0349fb0d8ac564cc8bf52fbfa48c540 wp-block-paragraph\" style=\"font-size:15px\">This is an additional option available to those who are enrolled in Original Medicare. It was created with the intention of <strong>helping certain enrollees with the costs that come with Original Medicare<\/strong>. If their share of the costs places a financial burden on them, or that they simply cannot afford, they may buy into extra insurance from a private company that will help pay your share of Original Medicare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-5517e02643cd50599f7958984c72a4ab wp-block-paragraph\" style=\"font-size:16px\"><strong>Important Reminders:<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-0a19ab01a5bf7015a3f63293f2d17170 wp-block-paragraph\" style=\"font-size:15px\">&#8211; Any form of Medicare will pose certain costs to the enrollee.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-9da60641d8e624c55012e667789067f6 wp-block-paragraph\" style=\"font-size:15px\">&#8211; Premium-free versions are available, but are subject to certain qualifications, including that the enrollee be receiving Social Security benefits.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-3c81abe8518a6d0286accacfaba4c111 wp-block-paragraph\" style=\"font-size:15px\">&#8211; If you are not receiving Social Security benefits, you must apply to Medicare; it will not be automatic.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-1b8d82e9ba48215a3b19d760c9ddc487 wp-block-paragraph\" style=\"font-size:15px\">&#8211; Medicare plans cannot be extended from the enrollees to their spouse or family members; all plans are for individuals.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-76bb1e39a9cb1f5fb4441c966a88c9e5 wp-block-paragraph\" style=\"font-size:15px\">&#8211; When enrolling in Medicare, it\u2019s important that you know what your specific needs are, such that you can find the perfect plan for you that is both affordable and effective.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-16868167dddb9591dd6418c84ebc9727 wp-block-paragraph\" style=\"font-size:15px\"><strong>References:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; \u201cGet Started with Medicare,\u201d Basics. Medicare.gov. <a href=\"https:\/\/www.medicare.gov\/basics\/get-started-with-medicare\">https:\/\/www.medicare.gov\/basics\/get-started-with-medicare<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; \u201cHow does Medicare work?\u201d Medicare Basics. Medicare.gov. <a href=\"https:\/\/www.medicare.gov\/basics\/get-started-with-medicare\/medicare-basics\/how-does-medicare-work\">https:\/\/www.medicare.gov\/basics\/get-started-with-medicare\/medicare-basics\/how-does-medicare-work<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; \u201cParts of Medicare,\u201d Medicare Basics. Medicare.gov. <a href=\"https:\/\/www.medicare.gov\/basics\/get-started-with-medicare\/medicare-basics\/parts-of-medicare\">https:\/\/www.medicare.gov\/basics\/get-started-with-medicare\/medicare-basics\/parts-of-medicare<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#8211; \u201cOriginal Medicare Eligivility and Enrollment,\u201d Medicare. Medicare.gov. <a href=\"https:\/\/www.cms.gov\/medicare\/enrollment-renewal\/original-part-a-b\">https:\/\/www.cms.gov\/medicare\/enrollment-renewal\/original-part-a-b<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you\u2019re getting close to 65 years old, you may be wondering about Medicare. With the recent announcement of improvements to Medicare Part D, many are likely wondering how Medicare works in the first place, whether or not they qualify, and what \u201cPart D\u201d even means. Read on to learn more about Medicare, and how [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":14369,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","cybocfi_hide_featured_image":"yes","footnotes":""},"categories":[9],"tags":[28,161,340,6,443,442,21,444],"class_list":["post-14368","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-guide","tag-health","tag-healthcare","tag-medicare","tag-medicare-advantage","tag-medicare-part-d","tag-older-adults","tag-origial-medicare"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Get to Know Medicare - NHCOA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nhcoa.org\/es\/get-to-know-medicare\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Get to Know Medicare - NHCOA\" \/>\n<meta property=\"og:description\" content=\"If you\u2019re getting close to 65 years old, you may be wondering about Medicare. With the recent announcement of improvements to Medicare Part D, many are likely wondering how Medicare works in the first place, whether or not they qualify, and what \u201cPart D\u201d even means. 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With the recent announcement of improvements to Medicare Part D, many are likely wondering how Medicare works in the first place, whether or not they qualify, and what \u201cPart D\u201d even means. 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