![]() It covers getting a second surgical opinion, and it has limited outpatient prescription drugs. It’s services from doctors and other healthcare providers, clinical services, ambulance services, durable medical like crutches and wheelchairs and things of that nature, mental health, inpatient, outpatient, and some partial hospitalization for inpatient. ![]() In the home setting, there are home health services that are provided by Medicare Part A as well. It’s a bridge to get you from inpatient hospitalization to your home setting. Many people consider this as a step-down unit. You’ll go into a nursing home or skilled nursing home. For an example, if you have a surgery and have recovered well enough to be discharged from the hospital but not to the point where you can go home and care for yourself. It’s not part of Medicare and certainly not part of Medicare Part A. If you need to go into a nursing situation where there is no expectation of improvement, that’s considered long-term care. If it’s a service that can be provided in a skilled nursing facility where an improvement is expected or an improvement is likely, it is covered. Part A also includes skilled nursing care as long as custodial care isn’t the only coverage that you need. It includes the hospice care when those days come to us. Part A covers the inpatient hospitalization side. Generally speaking, Medicare covers services like lab tests, surgeries, doctor visits, inpatient hospital care, durable medical equipment-like walkers, canes, wheelchairs-and things that are considered medically necessary to treat an illness or a disease. What do each of them cover? Before we define each part, let’s define Medicare at a high level. There are two ways to get your Medicare coverage. When they left employment, they could purchase individual health insurance if they could afford it, or they simply pay their own bills. Until the Medicare Act was passed, most people receive their health insurance through their employer. ![]() It is probably one of the singular most important gifts that the government has ever given to our age group. In July 1965, the Medicare Act was passed. Sadly, we all know what happened to John Kennedy, but Lyndon B. It was a strong presidential running point even through John F. Going through the 1950s, Dwight Eisenhower had a program for orphans. Pretty much anything that President Truman wanted to push forward was not embraced or was not popular. due to World War II and it continued to be an issue leading into the Korean Conflict. Sadly, there were too many widows and orphans in the U.S. Following World War II, Harry Truman wanted to establish a widows and orphans fund. To begin this discussion on the ABCs of Medicare, we need to start with a quick history lesson. For the last 17 years, Tom has been certified with the Centers for Medicare & Medicaid, which is the overseer of our Medicare program. My primary focus has been the senior market, which translates into the Medicare market. ![]() I’ve been in the health insurance industry for 43 years. Sign Up for the Modern Wealth Management Educational Series With Medicare open enrollment underway (it runs from October 15 through December 7), I want to make sure that you have the information you need to make an informed, educated decision, whether you’re going into Medicare or are already on it and reviewing your decisions from last year. My name is Tom Allen and I’m excited to be on the Modern Wealth Management Educational Series to review the ABCs of Medicare.
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