Medicare Part A
Coverage that helps pay for hospital stays, skilled nursing care, some home health services, and hospice care.
Medicare Part B
Coverage that helps pay for physicians’ services, outpatient care, and other medical services not covered by Part A. Parts A and B together are known as Original Medicare.
Medicare Part C (Medicare Advantage)
A plan offered by a private company as an alternative to Parts A and B only. Part C plans and Cost plans may include Part D coverage.
Medicare Part D
Prescription drug coverage available as a stand-alone plan (PDP) or as part of a Medicare Advantage plan (MA-PD).
An interval in some Part D drug plans during which you must pay 100 percent of your prescription costs. Also know as the “doughnut hole”, the gap begins after your costs reach an initial coverage limit and ends after you have paid enough to become eligible for catastrophic coverage.
Medigap/Medicare Supplement Insurance
Plans sold by private companies to supplement Original Medicare coverage. Also known as Medigap plans, they are not to be confused with Medicare Advantage (Part C) or Cost plans.
Custodial Care, Private Duty or ADLs (Aides to Daily Living)
Typically non-skilled care, unreimbursed by Medicare, that can include light housework, meal preparation, bathing assistance, errands, etc.
Durable Medical Equipment (DME)
Certain medical equipment that is ordered by your doctor for use in your home. Some examples are walkers, wheelchairs, and hospital beds.
Skilled Nursing Care
Care that must be given or supervised by a registered nurse (RN), such as intravenous injections.
To learn more about Medicare benefits or coverage, call Intermountain Senior Answers at: 801-887-6600 or toll-free at 1-877-787-1444.