Top Questions about Medicare Coverage

Updated: Nov 16

Most Americans spend decades on employer provided, private health care plans. As we approach our senior years, many look forward to the prospect of switching to Medicare. Then, when the time comes, they find themselves with a million questions. For one, they may have heard that original Medicare doesn’t cover everything and wonder how they will close the gaps. In this post, we will answer some of the basic questions that kupuna may have as they look to transition into their senior healthcare options.

Top questions about Medicare coverage

What is Original Medicare (Part A and B)?

Original Medicare is made up of Medicare Part A and Medicare Part B. It is managed by the federal government through the Centers for Medicare & Medicaid Services (CMS) and provides Medicare coverage to eligible Americans, 65 years of age and older. Original Medicare provides coverage for and access to any doctors, hospitals, or other health care providers who accept Medicare. Enrollees do not need a referral to see a specialist. It is a fee-for-service plan, which means that the beneficiary usually pays a fee for each service; the percentage that Medicare doesn’t pay. In addition, an annual deductible must usually also be met.

Original Medicare is funded by payroll taxes paid by workers and their employers and by monthly premiums paid by beneficiaries, that may be deducted from Social Security checks.

How much does original Medicare cost?