Medicare Cheat Sheet for Therapist

Medicare Cheat Sheet for Therapist

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I definitely did not learn about social services programs in grad school and the verbiage surrounding Medicare can be confusing. But with an ever-aging population, understanding the different parts of Medicare and what it provides (also what it doesn't provide) can better help you and your clients understand their options.

So here is a breakdown of the four parts of Medicare and what they provide:

Medicare Part A: Covers inpatient hospital stays, care in a skilled nursing facility after hospitalization, and hospice. Some part A benefits also cover home health care. Part A is free as long as you (or your spouse) paid into Medicare payroll taxes for at least 10 years.

Medicare Part B: Covers outpatient services such as routine doctors visits or specialists.

Medicare Part C: Also called Medicare Advantage in some states, provides health care coverage through private insurance companies. It covers the same things as parts A and B but may include additional benefits such as hearing, vision, dental and prescription drug benefits.

Medicare Part D: Covers prescription drugs.

What Medicare Doesn't Cover

Its important to understand what Medicare doesn't cover as well.

  • Custodial care (most nursing home care is custodial care and includes dressing, bathing, cooking etc.)
  • Dental care
  • Routine vision
  • Hearing aids
  • Long term care
  • Most chiropractic services
  • Routine foot care
  • Skilled nursing if you haven’t been in the hospital first

I hope you can find this information useful!

Source: The Essential Retirement Guide

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