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Medicare Overview


Medicare
Signed into law in 1965 and funded by the Social Security Administration, Medicare is the United State's national health insurance program administered by the federal government. Medicare is run by the Centers for Medicare & Medicaid Services (CMS), a federal agency.

Man in wheelchair with wife

Who Qualifies:
People age 65 or older; some people under the age of 65 with certain disabilities, and people with End Stage Renal Disease (ESRD).

Your Choices:
People with Medicare can choose to get their Medicare health coverage through Original Medicare, a Medicare Advantage Plan or a Medicare Advantage Plan with Prescription Drug Coverage.

Medicare Part A
Hospital insurance with basic coverage for hospital stays, nursing home facilities, home health and hospice care.

Medicare Part B
Medical insurance to cover many of the fees associated with doctor visits, laboratory testing, and outpatient services and supplies.

Medicare Part D
Prescription Drug Coverage insurance to help pay for outpatient prescription drugs, vaccines, and some supplies not covered by Medicare Part A or Part B.

Medicare Advantage Plan (also known as Medicare Part C)
A private company that contracts with Medicare to provide you with all your Medicare Part A (Hospital) and Part B (Medical) benefits.

Medicare Advantage Prescription Drug Plan
A private insurance company like Abrazo Advantage Health Plan(HMO). Medicare pays Abrazo Advantage Health Plan to provide basic Medicare benefits (Parts A, B & D) to our members and the resulting savings equals additional benefits like low co-pays for medical services and prescription drug coverage, including coverage of generics in the coverage gap.

Limited Income Subsidy
People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for up to one-hundred (100) percent of drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don't know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

Need More Information?
For more information visit www.medicare.gov and view the booklet "Medicare & You" or call 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048.

Or Contact:

AAHP Member Services
(602) 824-3900 or (888) 864-1114
Seven days a week, 8 am to 8 pm

Hearing Impaired Assistance
TTY/TDD (800) 842-4681 to access the Arizona Relay System

H5985_502-2011 Pending CMS Approval