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There are four parts of Medicare: Part A, Part B, Part C, and Part D. Part A provides inpatient/hospital coverage. Part B provides outpatient/medical coverage. Part C offers an alternate way to receive your Medicare benefits (see below for more information). Part D provides prescription drug coverage.

If you’re in a Medicare Advantage Plan or other Medicare plan, your plan may have different rules. But, your plan must give you at least the same coverage as Original Medicare. Some services may only be covered in certain settings or for patients with certain conditions.

In general, Part A covers:

• Inpatient care in a hospital
• Skilled nursing facility care
• Nursing home care (inpatient care in a skilled nursing facility that’s not custodial or long-term care)
• Hospice care
• Home health care

2 ways to find out if Medicare covers what you need

1. Talk to your doctor or other health care provider about why you need certain services or supplies. Ask if Medicare will cover them. You may need something that’s usually covered but your provider thinks that Medicare won’t cover it in your situation. If so, you’ll have to read and sign a notice. The notice says that you may have to pay for the item, service, or supply.

Medicare coverage is based on 3 main factors

1. Federal and state laws.
2. National coverage decisions made Medicare about whether something is covered.
3. Local coverage decisions made companies in each state that process claims for Medicare. These companies decide whether something is medically necessary and should be covered in their area.

Part B covers 2 types of services

• Medically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice.
• Preventive services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best.

You pay nothing for most preventive services if you get the services from a health care provider who accepts

assignment

Part B covers things like:

• Clinical research
• Ambulance services
• Durable medical equipment (DME)
• Mental health
  • Inpatient
  • Outpatient
  • Partial hospitalization
• Limited outpatient prescription drugs

2 ways to find out if Medicare covers what you need

1. Talk to your doctor or other health care provider about why you need certain services or supplies. Ask if Medicare will cover them. You may need something that’s usually covered but your provider thinks that Medicare won’t cover it in your situation. If so, you’ll have to read and sign a notice. The notice says that you may have to pay for the item, service, or supply.
2. Find out if Medicare covers your item, service, or supply.

Medicare coverage is based on 3 main factors 

1. Federal and state laws.
2. National coverage decisions made Medicare about whether something is covered.
3. Local coverage decisions made companies in each state that process claims for Medicare. These companies decide whether something is medically necessary and should be covered in their area.

Contact a Medicare Parts A and B Cover insurance expert

Make sure you buy insurance from a reliable company that’s licensed in your state. At HealthPro Consultants, we are a licensed Financial Marketing Organization. Our Medicare Parts A and B Cover insurance experts will take care of all your needs. Contact us now. Call us on +1 (216) 236-1466 or Text our live agent +1 (330) 443 1071. We are here to support you in all your concerns on Medicaid nursing home.