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Enrollment in Original Medicare

You are automatically enrolled in Original Medicare when you turn 65 if you're already receiving Social Security benefits. Those who are not yet receiving Social Security benefits must sign up through the Social Security Administration. This can be done online, by phone, or in person. It's important to enroll during your Initial Enrollment Period to avoid any late enrollment penalties.

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Part A Coverage

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    Inpatient Care

    Covers hospital stays, including room, meals, general nursing, and drugs as part of your inpatient treatment.

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    Skilled Nursing Facility Care

    Provides coverage for care in a skilled nursing facility following a hospital stay, under specific conditions for a limited time.

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    Hospice Care

    Offers comfort and support for persons in the final phase of a terminal illness and their families.

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    Home Health Care

    Includes certain home health care services deemed medically necessary, such as physical therapy or intermittent skilled nursing care.

Part B Coverage

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    Doctor's Services

    Covers services deemed medically necessary to diagnose or treat your medical condition and that meet accepted standards of medical practice.

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    Outpatient Care

    Includes services and supplies received in an outpatient setting, like a doctor's office or clinic.

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    Preventative Services

    Offers coverage for preventive services to prevent illness (like the flu) or to detect it at an early stage, when treatment is most likely to work best.

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    Medical Supplies

    Covers certain supplies, like walkers and wheelchairs, considered medically necessary to treat a disease or condition.

What Medicare Doesn’t Cover

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Hearing Aids

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Most Foot Care

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Long-term Care

Routine Dental Care

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Routine Vision

It's important to note that while Original Medicare covers many health care services and supplies, coverage is generally based on being medically necessary. If a service or item is needed for diagnosis or treatment of your medical condition and meets accepted standards of medical practice, it is likely covered.

For services not covered by Original Medicare, some may choose to purchase additional coverage, such as a Medicare Advantage Plan (Part C), which offers additional benefits, or a Medicare Supplement Insurance (Medigap) policy, to help pay for out-of-pocket costs.

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Contact Nexus Insurance Advisors today to schedule your consultation. Our team is here to provide you with the information and support you need to navigate your insurance options confidently.