Medicare Coverage Overview

Most people understand that Medicare in New Mexico is the Federal system of health insurance for people 65 or older and people with certain disabilities. Beyond that, the details start to get more complicated. What’s the most common request for help we receive? Our insurance specialists are most commonly asked to help explain the various parts of Medicare and how supplemental insurance fits in. The different parts of Medicare can be a little confusing, so we’ve broken it down as simply as possible. After reading through our overview, feel free to explore our article library for more in-depth information. If you have specific questions and want immediate answers, call us to have one of our insurance specialists provide clear and helpful answers to get you on the right track.


ORIGINAL COVERAGE (Traditional Medicare)

Medicare Part A – Hospital Insurance

  • Helps cover inpatient care in hospitals
  • Helps cover skilled nursing facilities, home health care, and hospice care
  • Provides partial coverage of Medicare-approved costs

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Medicare Part B – Medical Insurance

  • Helps cover doctors’ services, hospital outpatient care, and home health care
  • Helps cover some preventive services to maintain health and keep certain illnesses from declining
  • Helps cover some of the durable medical equipment costs
  • Typically covers 80% of the Medicare-approved costs

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Medicare Part C (Also called Medicare Advantage)

  • Health plans are operated by private, Medicare-approved insurance companies
  • Include Part A and Part B (above)
  • May contain other coverage like Part D prescription drug coverage costs

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Prescription Drug Coverage

Medicare Part D – Medicare Prescription Drug Coverage

  • A prescription drug option offered by Medicare-approved private insurance companies
  • Helps cover the cost of prescription drugs
  • It may provide lower prescription drug costs and help to protect against rising costs in the future
  • You need to be enrolled in Part A and Part B coverage to enroll in Part D

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