Medicare Parts A & B

Original Medicare — The Foundation of Your Coverage

Original Medicare is the government-run health insurance program for people 65 and older. Understanding what it covers — and what it doesn't — is the first step to building the right plan.

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Part A vs. Part B — What Each Covers

Original Medicare has two parts. Most people get both.

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Part A — Hospital Insurance

  • Inpatient hospital stays
  • Skilled nursing facility care (after a qualifying hospital stay)
  • Hospice care
  • Some home health care
  • Most people pay $0 premium for Part A
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Part B — Medical Insurance

  • Doctor visits and outpatient care
  • Preventive services (screenings, vaccines)
  • Durable medical equipment
  • Mental health services
  • Standard 2025 premium: $185.00/month
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What Original Medicare Does NOT Cover

  • Prescription drugs (need Part D)
  • Routine dental care
  • Routine vision and hearing
  • Long-term / custodial care
  • Most care outside the U.S.
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Your Cost Responsibility

  • Part A deductible: $1,676/benefit period (2025)
  • Part B deductible: $257/year (2025)
  • Part B coinsurance: 20% after deductible
  • No out-of-pocket maximum
  • A Medigap plan can cover most of these costs

Original Medicare Leaves Real Gaps

The biggest risk with Original Medicare alone is the 20% coinsurance with no cap. A serious illness or hospital stay can mean thousands in unexpected bills. Here's how to close those gaps.

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Add a Medigap (Supplement) Plan

Covers most or all of the 20% coinsurance, deductibles, and copays that Original Medicare leaves behind. See any Medicare-accepting doctor in the U.S. — no networks.

Learn about Medigap →
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Add a Part D Drug Plan

Original Medicare doesn't cover prescriptions. A standalone Part D plan ensures your medications are covered. Avoid late-enrollment penalties by enrolling when first eligible.

Learn about Part D →

Or Switch to Medicare Advantage

An alternative to Original Medicare + Medigap. Bundles hospital, medical, drug, and often dental/vision into one plan. Usually has lower premiums but requires using a network.

Learn about Medicare Advantage →

Not Sure Which Path Is Right for You?

I'll compare Original Medicare + Medigap vs. Medicare Advantage side-by-side for your specific doctors, medications, and budget. Free, no pressure, bilingual.

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Choose a time that works for you — phone, video, or in-person. No obligation, just clear guidance.