Medicare Made
Simple

Funded and sponsored by the United States government, Medicare health insurance is designed for individuals who are age 65 or higher, or younger than 65, but with certain disabilities. Medicare is also available for anyone who has been diagnosed with kidney failure that requires daily dialysis.

• Inpatient care inpatient hospital
• Skilled nursing facility care
• Convalescent home, not long-term care
• Hospice care
• Home health care

• Medically-necessary services
• Doctors’ services and tests
• Outpatient care
• Home health care
• Durable medical equipment

Medicare part c, also called medicare advantage plans, includes the coverage provided by parts a and b, plus other benefits:

• Prescription drug coverage
• Coverage for dental, vision or hearing
• Wellness programs and fitness center memberships

• Medicare Part D is Medicare’s prescription drug coverage.
• You may purchase a Medicare Part D plan if you qualify for Medicare.
• Part D plans have a list of drugs they cover called a formulary, so you can tell if a plan covers your prescriptions.
• Some Medicare Part D plans are included in Medicare Advantage

The Health Insurance Marketplace is a centralized exchange operated by the Federal Government where people can compare and purchase health insurance. It enables individuals, families, and small businesses to shop for comprehensive health plans based on considerations such as cost and coverage.

The Medicare Giveback Benefit is a Part B premium reduction offered by some Medicare Part C (Medicare Advantage) plans.

Once Veterans sign up for a Medicare Advantage plan that offers the Giveback Benefit, there is nothing else needed for one to use the benefit. The Veteran will automatically receive the premium reduction offered by their plan. If the premium is paid directly from their Social Security check each month, they will see an increase in their monthly check for the amount of the benefit, or if they pay the premium through other methods, they will owe less each month.

Final expense policies, also referred to as burial insurance, covers end-of-life expenses including funeral arrangements and any remaining medical or legal expenses that will need to be settled by your beneficiary

Hospital indemnity insurance is a supplemental insurance plan that pays for costs of a hospital admission that may not be covered by other insurance. The funds can be used in a number of ways, including medical co-pays, deductibles and other expenses.