Medicare Acronyms Defined: Parts and Plans

Medicare Acronyms Defined: Parts and Plans

Medicare language & information are full of acronyms. As you attempt to remain informed, you are likely to come across an article that should be revealing. You begin to read and before you realize it, you’re engrossed in the article.

Understanding Common Medicare acronyms will help you stay informed. And staying informed will help you make the right decisions about your Medicare insurance and Medicare supplements.

Lots of letters! Each of the four Medicare parts is designated by a letter; A-B-C and D. Each of the Medicare supplement plans is designated by the letters A-B-C-D-F-G-K-L-N and N. So you’ve got the Medicare Advantage Plans /Part C plans that acronyms usually refer to as MAPD, MA, PDP, PPO, HMO, and PFF!

It can get very confusing. Let us begin by comprehending the parts of Medicare. Medicare is divided into 4 parts.

Part A: Part A covers the hospital and inpatient and nursing room and qualified supplies.

Part B: Part B covers doctors, surgery, testing, therapy, durable medical equipment, certain medications.

Parts A and B are known as Medicare Original. It is government health insurance. In most cases, you do not pay a premium for Part A after you retire. You paid your taxes while you worked. Part B is optional, and if you wish to be covered by Part B, you must pay a monthly premium that will be deducted from your Social Security check each month.

Part C: Part C is a particular Medicare. It occupies the seat of your Medicare government. You must be enrolled in Parts A + B to enroll in Part C. Part C Plans are also known as Medicare Advantage Plans.

Acronyms for Medicare Advantage:

MAPD: A Part C Medicare Advantage plan that includes drug coverage.

MA: – A Medicare Advantage Part C plan that does not include drug coverage.

Health Maintenance Organization (HMO): A Medicare Advantage Part C plan. You must reside in the coverage area of ​​the plans and choose from Providers who are members of the plan. PPO: Preferred Supplier Organization: The Medicare Advantage Plans also called part C plan that has a network of suppliers that accept the plan. You do not need to stay on the network; however, your copayment costs and disbursements will be much higher if you do not.

PFF: Private Service Charge: A Medicare Advantage Part C plan that allows you to go to a provider of your choice as long as they accept the amount the plan will pay for the services. Part D: Medicare prescription drug coverage is provided by private companies under Medicare supervision. While all plans are required to cover certain medications, they may vary widely in terms of monthly payment and premiums.

A Concise Introduction To Medicare Part C

A Concise Introduction To Medicare Part C

While you may be enrolling in Medicare Part C or plan to enroll, the various types of coverage may seem a bit confusing. For example, did you realize that Medicare Part C (also called Medicare Advantage Plans) will not be a separate driver like Medicare Part D? While these differences may not seem important, choosing the wrong plan can easily cause a lot of money on health-related bills, as well as denials of service that can cost you your life. That way, you’ll be happy to know as much as possible about it and how you measure other types of coverage.

The Medicare Advantage Plan also offers more flexibility than standard Medicare. Medicare Advantage includes prescription medication insurance (not always), and rewards can opt for Advantage plans, which include vision and dental care, and also gym membership. Medicare Advantage gives great priority to preventive care. These benefits come with the condition that you must remain connected to the network for your service, but many beneficiaries find this exchange more than reasonable. In general, those who choose to participate in Medicare Advantage often do so simply because they see the medicare Advantage Plans as a better value than conventional Medicare.

Usually, once you register with social security benefits, you will be enrolled in Medicare Part A instantly. This plan will pay you 80% of your expenses if you need to be admitted to the hospital. It does not cover routine visits to the doctor, diagnostic tests while in the hospital or in the emergency room. All of these services are covered by Medicare Part B. As you know, the registration of Part B will be voluntary and generally costs around 120.00 per month in prizes. Finally, he is a special Part B pilot that includes prescription medications. Basically, it will be a composite plan provided by a local provider (as opposed to the government) that will provide the same coverage as Medicare Part A, B and also D.

It is fair to say that many insurance companies offer Medicare Part C plans along with other insurance products. Before enrolling in these plans, you should make sure you understand your copy and the deductible responsibilities. Similarly, make sure you have as many insured things as possible. For example, you should get a provider that offers dental and ophthalmic coverage. At a minimum, this will give you a great advantage over conventional Medicare plans and save you money on other services.

Health Care Reform: Ending The 3 Most Important Myths Of Obamacare 5

Health Care Reform: Ending The 3 Most Important Myths Of Obamacare 5

The health care reform adds an amount of health care taxes that insurance companies will have to collect and pay, but will only pass them on to consumers.

The mandate will not greatly reduce the insured

During the first years of health reform, the mandate is really very weak. The mandate says that everyone must get health insurance or pay a fine (a tax). What this will do is to make healthy people stay out of the way and wait for the mandate to reach the point where they are finally forced to buy health insurance. People with chronic health conditions who previously could not obtain health insurance will enter the health sector in early 2014.By the end of this year, the cost of the policies will increase by 2015. I can guarantee it, because healthy young people will not be motivated to join the policies. They will not see the reward of following an expensive policy, while people with chronic diseases will enter the policies and increase costs.

The goal of health reform is just a matter of semantics

The last part is, one of the main things, and it is curious, I saw in the first two years of 2010 and 11, one of the main things listed in the Obama administration’s documentation: health care reform would help reduce the cost we would see in the future if we do nothing today. This has been emphasized repeatedly. This is how they had reduced health care costs that would reduce future costs. Not today, but it would reduce what we would pay in the future if we didn’t do anything about it now.Well, that’s great, in ten years we will pay less than we could have paid. And we all know how accurate future projections are. Meanwhile, we all pay more today, and we will pay even more in 2014 and more in 2015 and 2016. People will be very upset about this.


These three myths, that health care reform will only affect the uninsured, that it will not affect Medicare recipients, and that ObamaCare will reduce health care costs, are just that. They are myths. There is nothing for them. It is really important that you pay attention to what is happening with the health care reform, because there are more changes in this year 2013. Knowing how to position yourself to be in the right place so you can make the best decision soon 2014 will be really important for everybody.