Does Medicare Cover Doctor Visits?

Does Medicare Cover Doctor Visits?

Medicare does not cover office visits to doctors for routine health checkups, but it does cover an annual wellness visit for people with Part B.

Part B covers all of the following services:

Routine physicals

Immunizations

Treatment of acute illnesses

Diagnostic services

Some preventive care services

Prescriptions

What does Medicare cover for hospital visits?

Medicare Part A covers inpatient stays in a hospital. Medicare Part A covers hospital stays for up to 90 days after you are admitted. For stays after 90 days, you will need to apply for a "continuing care certificate" or "CCC". You can apply for a CCC online or you can call the Social Security Administration at 1-877-690-1012 and request a CCC application.

Medicare Part B covers the following services:

Routine medical services

Emergency services

Hospital services

Skilled nursing care

Home health services

Physical and occupational therapy

Physical examinations

Medicare Part C covers the following services:

Medical

Dental

Vision

Part C or Part D insurance covers all Part A and Part B services. Part C and Part D also cover certain additional services and supplies, and Part C helps pay for prescription drugs.

Do I need to wait before I can enroll in Part C?

No, you can enroll in Part C whenever you are ready.

How much do I pay for Part A and Part B?

You pay a monthly fee for Medicare Part A and Part B, and you pay a base premium for Part B each month. Your Part B monthly premium is based on your income and is listed on your Social Security statement. You can use the Social Security statement to estimate your annual Part B premium.

What is Medicare Advantage?

Medicare Advantage is another way of getting Medicare coverage. You can enroll in a Medicare Advantage plan through Medicare.gov. Medicare Advantage plans are also called "Part C" plans.

How do I get Medicare coverage?

You can sign up for Part A, Part B, or both through the Social Security Administration by filling out the Medicare application. You can also apply for Part A, Part B, or both over the phone by calling 1-877-690-1012.

Is there anyone that is automatically covered by Medicare?

If you are a U.S. citizen, and you worked long enough in the U.S. to be covered by Social Security, you and your spouse will be covered by Medicare at age 65. You will get your Medicare card in the mail after you turn 65.

If you are not eligible for Part A, Part B, or both, you can sign up for Part A, Part B, or both anytime.

If you are eligible for Part A, you will also be eligible for Part B when you turn 65. If you are eligible for Part B, you will also be eligible for Part A when you turn 65.

What do I need to do if I am turning 65?

When you are turning 65, you should make sure that you apply for Part A and Part B. You must enroll in Part A and Part B within eight months of turning 65.

Some people can get Medicare coverage earlier if they have a disability. People with disabilities can sign up at age 65 and a half, or if they are getting Social Security Disability Insurance (SSDI).

What is the difference between a Medicare Advantage plan and a traditional Medicare plan?

Medicare Advantage covers all of the services that Medicare Part A and Part B cover. The difference is that you get your Medicare program through a private insurance company that offers Medicare Advantage plans.

Medicare Advantage plans are also called "Part C" plans.

What if I have Medicare and I have a Supplemental Insurance Plan (SIP)?

You need to log in to your SIP account and cancel your plan. You can then enroll in a plan through Medicare Advantage.

What if I have Medicare and I have a Medigap policy?

You will need to log in to your Medigap account and cancel your plan. You can then enroll in a plan through Medicare Advantage.

What if I have a Medigap policy and I have a Medicare Advantage plan?

How do I contact Medicare?

You can contact Medicare by calling 800-MEDICARE (1-877-690-1012) or logging on to www.medicare.gov.

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

Part A covers certain inpatient hospital services. It also covers some skilled nursing services and some home health services. Part A pays for most of the following:

Inpatient hospital services

Part A deductible and coinsurance costs

Home health and skilled nursing home care

Part A coinsurance amounts for home health services

Part B covers most of the following:

Part B coinsurance amounts for Part A inpatient hospital services

What is the difference between an outpatient hospital visit and an inpatient hospital visit?

You are considered to be having an outpatient hospital service if you are not staying in the hospital overnight. You

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