What Does Medicare Part C Cover?

What Does Medicare Part C Cover?

Medicare Part C covers outpatient care (care that you do not receive in a hospital and that does not require a stay in a hospital) such as doctor's office visits, services from specialists, and some medical equipment. You do not need a referral to see a specialist under Medicare Part C.

Medicare Part C does not cover any of the costs of Medicare Part A (hospital costs) or Medicare Part B (doctor's office costs) and does not cover any costs for hospital stays. In other words, Medicare Part C is not like Part B.

Medicare Part C does not cover any cost sharing for emergency services or hospice care.

Medicare Part C covers preventive services at no cost to you.

What does Medicare Part C not cover?

Medicare Part C does not cover any services from doctors who do not accept assignment (which is most doctors) except for preventive services.

Medicare Part C does not cover any routine physicals, except for an initial preventive physical, which is covered at no cost.

Medicare Part C does not cover hearing aids or eyeglasses for routine use.

Medicare Part C does not cover any medical or surgical services that are not medically necessary, such as cosmetic surgery, or any services that are not ordered by your doctor.

What are the benefits of Medicare Part C?

Medicare Part C is not like Part B. It is a "private insurance plan" that helps you pay for some of the cost of doctor's visits, services from specialists, and medical equipment. There is no cost sharing for preventive services. There is cost sharing for other services. You do not need a referral to see a specialist under Medicare Part C.

The benefits of Part C are:

You don't have to have a referral to see a Specialist.

You do not have to wait for a hospital bed to become available in order to be admitted to a hospital.

You can go to any doctor who accepts Medicare patients.

You can go to any hospital that accepts Medicare patients.

You do not have to wait for your doctor to get approval from another doctor to do something for you.

You do not have to worry about paying a deductible or co-pays.

Medicare Part C is a "private insurance plan."

Medicare Part C covers outpatient services (services that you do not receive in a hospital and do not require a stay in a hospital). This means that Medicare Part C covers doctor's office visits, services from specialists, and some medical equipment. Medicare Part C also does not cover any of the costs of Medicare Part A (hospital costs) or Medicare Part B (doctor's office costs) and does not cover any costs for hospital stays. In other words, Medicare Part C is not like Part B.

Who is eligible for Medicare Part C?

If you are eligible for Medicare Part A (hospital coverage) and/or Medicare Part B (physician coverage) and you are not enrolled in both, you can get a Medicare Part C plan if you want one.

You do not need to have a referral to see a specialist under Part C.

You can also buy Part C on its own, if you only want Part C.

You can also buy Part C if you are on Medicare due to disability and want a way to help pay for doctor's office visits and services from specialists.

You can also buy Part C if you are on Medicare due to end stage renal disease (ESRD) and want a way to help pay for doctor's office visits and medical equipment.

You can also buy Part C if you want to help pay for ambulance services in addition to the services covered by your basic Medicare Part A.

You can also buy Part C if you want to help pay for Medicare prescription drug coverage.

You can also buy Medicare Part C if you have Medicare because of a disability and have had to pay Medicare Part B premiums for 24 months in a row.

How do I get more information about Medicare Part C?

You can get the booklet Medicare Part C (PDF) by calling Medicare at 1-800-MEDICARE (1-877-690-1012) or download it from the Medicare website.

What is Medicare Advantage?

Medicare Advantage is like Part C in that it is a private insurance plan. It is not like Part B. Medicare Advantage is a Medicare health insurance plan that helps you pay for some of the costs of doctor's visits, services from specialists, and medical equipment. You do not need

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