Benefis Medicare
Medicare is a government health insurance program, that provides assistance to people ages 65 and older, people under 65 with certain disabilities, and any age person with End-Stage Renal Disease or permanet kidney failure requiring dialysis or kidney transplant.
Learn about the types of Medicare Coverage and how to get help navigating it through a program called SHIP.
Kalite Kouvèti Medicare
There are three types of Medicare coverage:
- Medicare Pati A: Asirans Lopital
- Medicare Pati B: Asirans Medikal
- Pati C Medicare: Plan Advantage
- Pati D Medicare: Plan Medikaman sou Preskripsyon
Part A: Hospital Insurance
Medicare Part A covers expenses like:
- inpatient hospital care
- skilled nursing facilities
- inpatient rehabilitation
- hospice care
- some home health care services
Look at the Medicare card to determine if Part A coverage is included.
If you have Part A, you will see “HOSPITAL (PART A)” printed on the card.
Anpil moun pa fè sa have to pay for Part A.
It's based on Medicare-covered employment, as determined by the Social Security Administration.
Part B: Medical Insurance
Medicare Part B is medical Insurance, which helps cover medically necessary services like:
- doctor visits
- outpatient care
- durable medical equipment (DME)
- certain home health services
- other medical care not covered by Part A
- some preventive services
Most people pay monthly for Part B. There is also an annual deductible.
La Centers for Medicare & Medicaid Services runs the program and details expected premiums for Part B.
Part C: Extra Coverage by Private Companies
Private companies approved by Medicare offer Medicare Part C, and provide additional coverage.
This may include:
- vision
- hearing
- dental
- health and wellness programs
Most also include Medicare prescription drug coverage (Part D).
Part D: Prescriptions
Medicare Part D provides prescription drug coverage to all individuals with Medicare.
To get Medicare prescription drug coverage, you must join a plan run by an insurance company or other private company approved by Medicare.
Each plan can vary in cost and the drugs it covers.
Maryland SHIP: Jwenn èd pou jwenn bon plan an
Trained volunteers with the Maryland State Health Insurance Assistance Program (SHIP) offer free counseling to help individuals decide which Medicare plan to choose.
SHIP counselors can help individuals:
- understand costs and coverage
- compare options
- enroll or change plans
- fix billing errors or issues
Local SHIP counselors can help with all parts of Medicare, A-D.
In addition, they can help with financial assistance for low-income beneficiaries and with Medicare fraud and abuse.
Kontakte Maryland SHIP
Find a local SHIP counselor:
- Konte Allegany – 301-783-1710
- Konte Anne Arundel – 410-222-4257
- Baltimore City – 410-396-2273
- Konte Baltimore – 410-887-2059
- Konte Calvert – 410-535-4606
- Konte Carroll – 410-386-3800
- Konte Caroline – 410-479-2535
- Konte Cecil – 410-996-8174
- Charles County – 301-934-9305
- Konte Dorchester – 410-376-3662
- Konte Frederick – 301-600-1234
- Konte Garrett – 301-334-9431
- Konte Harford – 410-638-3025
- Konte Howard – 410-313-7392
- Konte Kent – 410-778-2564
- Konte Montgomery – 301-255-4250
- Konte Prince George a – 301-265-8471
- Konte St. Mary's – 301-475-4200 Ext. 1064
- Konte Somerset – 410-742-0505
- Konte Talbot – 301-475-4200 Ext. 231
- Konte Queen Anne – 410-758-0848 Opsyon 3
- Konte Washington – 301-790-0275
- Konte Wicomico – 410-742-0505
- Konte Worcester – 410-742-0505
Rele 211
Pale ak yon moun ki gen sousi pou ou epi ki gen konpasyon 24 sou 24, 7 jou sou 7. Yo kapab tou mete ou an kontak ak resous.
Enskripsyon ouvri Medicare
Chak ane, benefisyè yo ta dwe revize kouvèti Medicare yo ak konpare plan yo pandan enskripsyon ouvè ki espesifye nan sezon otòn la.
Ou ka rantre nan yon nouvo Plan Medicare Advantage oswa yon plan pou medikaman sou preskripsyon Pati D, chanje soti nan Original Medicare nan yon Plan Medicare Advantage, oswa chanje soti nan yon Plan Medicare Advantage pou ale nan Original Medicare (avèk oswa san yon plan Pati D).
Ou ka jwenn yon plan Medigap tou (Sipleman Medicare) nan Maryland.
Ki jan yo revize yon plan Medicare
Poze tèt ou kesyon sa yo sou Plan Medicare Advantage ou a:
- Konbyen prim yo ye chak mwa, si genyen?
- Konbyen franchiz ak ko-asirans/kopeman pou sèvis mwen bezwen yo?
- Ki pri chak ane soti nan pòch la?
- Ki zòn sèvis plan an?
- Èske doktè ak lopital mwen yo nan rezo a?
- Ki règ mwen dwe swiv pou jwenn aksè nan sèvis swen sante ak medikaman sou preskripsyon mwen yo?
- Èske plan an kouvri benefis swen sante adisyonèl ki pa kouvri pa Original Medicare?
- Ki evalyasyon etwal plan an?
- Èske plan sa a pral afekte pwoteksyon adisyonèl mwen genyen an?
Konpare plan ou a ak lòt moun, estime depans ki soti nan pòch yo epi gade sistèm zetwal la pou konprann evalyasyon plan an pou kalite ak pèfòmans.
Peryòd Enskripsyon Espesyal
Anplis enskripsyon ouvè, gen peryòd enskripsyon espesyal ki depann de sikonstans pèsonèl yo. W ap kalifye pou w enskri nan Medicare si:
- Ou deplase.
- Ou kalifye pou Medicaid.
- Ou kalifye pou Èd Siplemantè ak depans medikaman Medicare.
- W ap resevwa swen nan yon enstitisyon tankou yon etablisman enfimyè kalifye oswa lopital swen alontèm.
- Ou vle chanje nan yon plan ak yon evalyasyon 5-zetwal jeneral kalite.
Enfòmasyon ki gen rapò
eksplore pwogram asistans yo
Aprann plis sou pwogram benefis yo ak kijan pou kontakte sipò.
Manje
Manje gratis tou pre mwen, gadmanje, SNAP, WIC, ekonomi sou makèt
Sèvis piblik yo
Pwogram asistans pou bòdwo elektrisite, gaz ak dlo
Lojman
Peman lwaye, prevansyon ekspilsyon, abri pou moun ki san kay
Imigrasyon
Èd imigrasyon pou nouvo Ameriken ak refijye yo
