Burris Insurance Services logo

Medicare Advantage: Comprehensive Coverage Made Simple

Get in touch
protect your family

Understanding Medicare Part A & Part B

Navigating Medicare can be complex, but at Burris Insurance, we're here to simplify it for you. With over 45 years of experience serving the Wabash Valley and surrounding counties—including Parke, Vermillion, Vigo, and Sullivan—we're committed to helping you understand your options and find the coverage that best suits your needs

Get a Quote

Medicare Part A: Hospital Insurance

Medicare Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. For most people, Part A doesn't require a monthly premium, provided you or your spouse have paid Medicare taxes for a sufficient period. However, there are deductibles and coinsurance costs associated with services covered under Part A.

Social Security Administration

Medicare Part B: Medical Insurance

Part B covers outpatient care, doctor services, preventive services, and durable medical equipment. Unlike Part A, Part B requires a monthly premium, which is determined based on your income. Additionally, there is an annual deductible, and after meeting it, you'll typically pay 20% of the Medicare-approved amount for most doctor services.

Social Security Administration

Key Differences Between

Part A and Part B

COVERAGE

Part A focuses on inpatient services, while Part B covers outpatient and preventive services.

COSTS

Part A is often premium-free, with deductibles and coinsurance, whereas Part B involves a monthly premium, annual deductible, and coinsurance.

Why Understanding These Parts Matters

Choosing the right Medicare coverage is crucial to ensure your healthcare needs are met without unexpected expenses. Understanding the distinctions between Part A and Part B helps you make informed decisions about additional coverage options, such as Medicare Advantage Plans (Part C) or Prescription Drug Plans (Part D).

We're Here to Help

At Burris Insurance, we treat our clients like family. Our team is dedicated to providing personalized guidance to help you navigate Medicare with confidence. Whether you're new to Medicare or reviewing your current coverage, we're here to answer your questions and assist you every step of the way.

Call Now
questions?

Medicare Part A & B FAQs

  • What is the difference between Medicare Part A and Part B?

    Medicare Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care. Medicare Part B, on the other hand, focuses on outpatient services like doctor visits, preventive care, and durable medical equipment.

  • Do I need both Medicare Part A and Part B?

    Most people enroll in both Part A and Part B to ensure comprehensive coverage for hospital and medical expenses. If you're still employed or have other health coverage, you may choose to delay Part B. Speak with a Burris Insurance agent to understand your options.

  • What is the cost of Medicare Part A?

    For most individuals, Medicare Part A is premium-free if you or your spouse paid Medicare taxes while working. However, there are deductibles and coinsurance costs for services.

  • How much does Medicare Part B cost?

    Medicare Part B requires a monthly premium, which is determined based on your income. Additionally, there is an annual deductible, and after meeting it, you'll pay 20% of the Medicare-approved amount for most services.

  • When can I enroll in Medicare Part A and Part B?

    You can enroll during your Initial Enrollment Period (IEP), which begins three months before you turn 65 and lasts for seven months. There are also Special Enrollment Periods (SEPs) if you qualify due to specific circumstances.

  • What happens if I don’t enroll in Medicare Part B when I’m first eligible?

    If you delay enrolling in Part B without qualifying for a Special Enrollment Period, you may face a late enrollment penalty, which will increase your premium for as long as you have Part B.

  • Does Medicare Part A cover nursing home care?

    Medicare Part A covers skilled nursing facility care under certain conditions, such as after a qualifying hospital stay. It does not cover custodial care or long-term stays.

  • Can I have other health insurance with Medicare?

    Yes, Medicare works alongside other types of insurance, such as employer coverage, Medicaid, or private insurance. Our team can help you understand how Medicare coordinates with your existing plan.

  • What are the out-of-pocket costs for Medicare Part A and Part B?
    • Part A: Deductibles and coinsurance costs apply to inpatient services.
    • Part B: Monthly premiums, an annual deductible, and 20% coinsurance for most covered services after meeting the deductible.
  • How can Burris Insurance help with Medicare enrollment?

    Our experienced team at Burris Insurance offers personalized guidance to help you understand your Medicare options, enroll with confidence, and ensure you have the right coverage for your needs.

Share by: