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Medicare Basics

Purpose
  • Inform
Audience
  • Over 65 and certain disabilities
Category
  • Medical Insurance
Part A - Hospital
Part B - Medical

Medicare

Medicare is a federal health insurance program in the United States designed primarily to provide coverage for individuals aged 65 and older, as well as for some younger individuals with disabilities or specific medical conditions.

001
Part D- Prescription Drug Plans
  • Provides coverage for prescription medications.
  • Offered by private insurance companies and requires a separate premium.
002
Eligibility
  • Age 65 or Older:
  • Most individuals qualify if they or their spouse worked and paid Medicare taxes for at least 10 years.
  • Under 65:
  • Eligible for individuals with certain disabilities or conditions, such as End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS).

Costs

Premiums: Most people pay no premium for Part A, but Parts B, C, and D require premiums, often income-based.
Deductibles and Copayments: Beneficiaries are responsible for these, though costs vary by plan and coverage.

67
2024 Enrollees in Millions
89
Age 65 or older in Medicare in %
165
Healthcare costs for 65+ in Thousands