What is Medicare

Understanding Medicare Basics

The following is meant to explain the basics of Medicare in easy terms. If at any time you have questions and would prefer to speak to a licensed agent free of charge, simply call us at 888-316-1432

Medicare Basics

Medicare is the Federal Government program that provides health care coverage (aka health insurance) to eligible people. The following people are eligible for Medicare:

  • People aged 65 and older
  • People under 65 with certain disabilities / receiving Social Security Disability Insurance (SSDI)
  • People under 65 with end-stage renal disease

Note: you must be a citizen or legal resident who has lived in the US for at least 5 consecutive years.

Medicare is run by the Centers for Medicare & Medicaid Services (CMS), and is funded via taxes, premiums, and the federal government.

What’s the difference between Medicare and Medicaid?

Quick answer: Medicare is a program for Seniors 65 and older (and those with certain disabilities/afflictions), where Medicaid is for low income people of all ages.

What Are Medicare Coverages and Medicare “Parts”?

You have probably heard of different Medicare “parts” (Medicare Part A, Medicare Part D, etc.) Here they are, with a brief explanation of each:

  • Medicare Part A– Inpatient Hospitalization Insurance (provides hospital stay coverage)
  • Medicare Part B – Outpatient Medical Insurance (provides outpatient coverage)

Note: Parts A and B are known as “Original Medicare”

In general terms, Medicare is health insurance for eligible enrollees.

What Does it Mean?

Medically necessary can cover care for things as little as a finger cut while while preparing a meal. You accidentally cut your finger and need a stitch. Your trip to urgent care or the emergency room would be covered by Medicare. Treatment for illnesses like the flu, cold, cough allergies to name a few. A simple fall can lead to a broken bone and a visit to the emergency room is also covered. The plan will also cover surgeries, serious disease diagnosis, cancer diagnosis and treatment.

Medicare provides excellent medical insurance coverage including emergency room care, urgent care, inpatient care in hospitals, skilled nursing facility care, hospice care, Home health care, Doctors and other health care providers and many preventive services like screenings, shots and yearly “wellness” visits.

Medicare works very well for beneficiaries. We all travel though life and we experience different health and medical conditions. You will find Medicare provides excellent treatment when we are faced with such a large range of health challenges. We believe you will be very comfortable with the insurance and we believe you will “smile” knowing you will have excellent health coverage.

You Make The Call
We help The What Next™

We merge your questions with your personal plans your circumstances with your Medicare choices so you have the best coverage at the best price.



Original Medicare Pays Only About 80% – You Pay 20%?

Now keep in mind, this page describes Medicare, and when you have Original Medicare Parts A and Part B, will only pay about 80% of the cost. It is highly recommended you consider either a Medicare Advantage Plan or a Medicare Supplement Plan to help you with the costs Medicare does not pay for.