Medicare At-A-Glance

The Big Picture on Medicare

Original Medicare

(medicare.gov)i

Part A Hospitalization i

Part B Outpatient i

Medicare Supplement Plans (Medigap) i

(view Medicare Supplement comparison chart)

Part C Medicare Advantage Plans i

Part D (Prescriptions) i

Extra Coverage i

Dental

Hearing

Vision

Long Term Care

If you’re receiving Social Security benefits, you’re likely already enrolled in Original Medicare, but may still have gaps in your coverage. If you’re a new ActivAger (turning 65 soon and planning an active retirement) you may need specific coverage options that cover your active retirement lifestyle.

Use our MediClear helper to zero in on the type of Medicare plan that provides the best coverage for your individual situation

At any time during your Medicare enrollment journey, call us at 941-567-6000 TTY 711 to ask questions and learn more. By contacting the phone number listed, you can expect to be in contact with a licensed insurance agent.

Contact Us

WE WILL NOT SHARE YOUR INFORMATION WITH ANYONE ELSE. By providing your information – such as name, phone number, and email address – you agree to allow an ActivAge licensed Insurance Agent to contact you about various health plans, services, and/or educational information related to health care.

Medicare has neither reviewed nor endorsed this information. Not connected with or endorsed by the United States government or the federal Medicare program. Our National Producer Number is: 18595829

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Medical Terms and Definitions

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  • Long-term care ombudsman
    An independent advocate (supporter) for nursing home and assisted living facility residents who works to solve problems of residents of nursing homes, assisted living facilities, or similar facilities. They may be able to provide information about home health agencies in their area.
  • Medicaid
    A joint federal and state program that helps with medical costs for some people with limited income and resources. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.
  • Medical underwriting
    The process that an insurance company uses to decide, based on your medical history, whether to take your application for insurance, whether to add a waiting period for pre-existing conditions (if your state law allows it), and how much to charge you for that insurance.
  • Medically necessary
    Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine.
  • Medicare
    Medicare is the federal health insurance program for:
    • People who are 65 or older
    • Certain younger people with disabilities
    • People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)
  • Medicare Advantage Plan (Part C)
    A type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all of your Part A and Part B benefits, excluding hospice. Medicare Advantage Plans include:
    • Health Maintenance Organizations
    • Preferred Provider Organizations
    • Private Fee-for-Service Plans
    • Special Needs Plans
    • Medicare Medical Savings Account Plans
    If you’re enrolled in a Medicare Advantage Plan:
    • Most Medicare services are covered through the plan
    • Medicare services aren’t paid for by Original Medicare
    • Most Medicare Advantage Plans offer prescription drug coverage.
     
  • Medicare-approved amount
    In Original Medicare, this is the amount a doctor or supplier that accepts assignment can be paid. It may be less than the actual amount a doctor or supplier charges. Medicare pays part of this amount and you’re responsible for the difference.
  • Medicare-certified provider
    A health care provider (like a home health agency, hospital, nursing home, or dialysis facility) that's been approved by Medicare. Providers are approved or "certified" by Medicare if they've passed an inspection conducted by a state government agency. Medicare only covers care given by providers who are certified.
  • Medicare Cost Plan
    A type of Medicare health plan available in some areas. In a Medicare Cost Plan, if you get services outside of the plan's network without a referral, your Medicare-covered services will be paid for under Original Medicare (your Cost Plan pays for emergency services or urgently needed services).
  • Medicare drug plan (Part D)
    Part D adds prescription drug coverage to:
    • Original Medicare
    • Some Medicare Cost Plans
    • Some Medicare Private-Fee-for-Service Plans
    • Medicare Medical Savings Account Plans
    These plans are offered by insurance companies and other private companies approved by Medicare. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare  drug plans.