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What do the parts of Medicare cover?

 

Medicare is a single health insurance program with different parts. Getting the most out of your coverage means understanding the relationship among the different parts. You can combine some of these parts to get the coverage you want.

Parts A + B (Original Medicare)

Original Medicare + Standalone Prescription Drug Plan (Part D)

Original Medicare + Medicare Supplement

Medicare Advantage (Part C)

Hospital coverage

Visits to doctors and other health care professionals

Preventive care coverage

Prescription drug coverage

No data available
No data available

In some plans

Coverage while traveling abroad

No data available
No data available

Some plans include emergency coverage abroad

Coverage of routine dental services

No data available
No data available
No data available

In most Aetna® plans

Coverage of routine vision and hearing

No data available
No data available
No data available

In most Aetna® plans

Fitness membership benefit

No data available
No data available
No data available

Out-of-pocket maximum protection

No data available
No data available
No data available

Parts A + B (Original Medicare)

Hospital coverage

Visits to doctors and other health care professionals

Preventive care coverage

Prescription drug coverage

No data available

Coverage while traveling abroad

No data available

Coverage of routine dental services

No data available

Coverage of routine vision and hearing

No data available

Fitness membership benefit

No data available

Out-of-pocket maximum protection

No data available

Original Medicare + Standalone Prescription Drug Plan (Part D)

Hospital coverage

Visits to doctors and other health care professionals

Preventive care coverage

Prescription drug coverage

Coverage while traveling abroad

No data available

Coverage of routine dental services

No data available

Coverage of routine vision and hearing

No data available

Fitness membership benefit

No data available

Out-of-pocket maximum protection

No data available

Original Medicare + Medicare Supplement

Hospital coverage

Visits to doctors and other health care professionals

Preventive care coverage

Prescription drug coverage

No data available

Coverage while traveling abroad

Coverage of routine dental services

No data available

Coverage of routine vision and hearing

No data available

Fitness membership benefit

No data available

Out-of-pocket maximum protection

No data available

Medicare Advantage (Part C)

Hospital coverage

Visits to doctors and other health care professionals

Preventive care coverage

Prescription drug coverage

In some plans

Coverage while traveling abroad

Some plans include emergency coverage abroad

Coverage of routine dental services

In most Aetna® plans

Coverage of routine vision and hearing

In most Aetna® plans

Fitness membership benefit

Out-of-pocket maximum protection

  • Parts A and B: Also called Original Medicare, Part A covers services for hospital stays and similar inpatient procedures. And Part B includes coverage for doctor visits and other procedures that don’t require an overnight stay in the hospital.
  • Part C: Also called Medicare Advantage, Part C is made up of plans approved by Medicare and include all the benefits of Original Medicare. Private insurance companies offer these plans. Medicare Advantage plans usually include a network of health care providers. Some require you to use their network of providers while others allow you to go out of network, usually for a higher cost.
  • Part D: This part of Medicare provides prescription drug benefits.
  • Medicare Supplement plan: Private insurance companies provide these plans that work with Original Medicare. These plans help cover some of the costs associated with it.

  • Hospital coverage: Benefits for hospital stays and inpatient procedures.
  • Visits to doctors and other health care professionals: Coverage for seeing a health care professional as an outpatient.
  • Preventive care coverage: Benefits like annual physical exams, certain vaccines and some health screenings.
  • Prescription drug coverage: Benefits for prescription medication.
  • Coverage while traveling abroad: Benefits for medical care received outside the United States.
  • Dental coverage: Benefits for routine care for your teeth.
  • Vision coverage: Benefits for routine care for your eyesight.
  • Hearing coverage: Benefits for routine care related to your hearing.
  • Fitness membership benefit: Benefits for gym or fitness club memberships. 
  • Out-of-pocket maximum protection: A benefit that protects you from paying more than a certain amount for your covered medical care each year.

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