Medicare Coverage Types and Benefits

What this video covers

• What Part B generally covers, including physician services, outpatient care, qualifying home health care, durable medical equipment, and many preventive services
• Why Parts A and B alone, or a Medigap policy, do not establish prescription drug plan enrollment
• How to calculate a patient's Part B coinsurance using the Medicare-approved amount rather than a higher billed charge
• How formularies, drug tiers, premiums, copayments, and uncovered-drug costs affect total prescription expenses
• How Medicare Advantage differs from Medigap, and how to use the Evidence of Coverage (EOC) and Annual Notice of Change (ANOC)
• How participating, non-participating, and opted-out providers differ under Original Medicare
• Why provider network status and prior authorization are separate checks, and how to compare a plan against the person's full needs