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The
Original Medicare Plan
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Friendly Version
What
is the Original Medicare Plan? The
Original Medicare Plan is a "fee-for-service" plan. This
means you are usually charged a fee for each health care service or
supply you get. This plan, managed by the Federal Government, is
available nationwide. If you are in the Original Medicare Plan,
you use your red, white and blue Medicare card when you get health
care. If you are happy getting your health care this way you do
not have to change. You will stay in the Original Medicare Plan
unless you choose to join Medicare
Advantage Plans.
How
does the Original Medicare Plan work?
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You may go to any doctor, specialist, or hospital that
accepts Medicare. Generally, a fee is charged each
time you get a service.
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If you have Part A, you get all the
Medicare Part
A covered services.
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If you pay the monthly Part B premium
($93.50 in 2007), you get all the Medicare Part
B and Medicare Preventative
Services.
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You pay a set amount for your health care (deductible)
before Medicare pays its part. Then, Medicare pays its
share, and you pay your share (coinsurance or co-payment).
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After you get a health care service, you get a Medicare
Summary Notice in the mail. This notice is sent by
companies that handle bills for Medicare. The notice
lists the amount you may be billed.
Your costs in the
Original Medicare Plan:
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What you pay out-of-pocket depends on:
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Whether your doctor or supplier agrees to accept
assignment
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How often you need health care
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What type of health care you need
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Whether you get services or supplies not covered by
Medicare. Here are Medicare Part B
services that are covered.
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Whether you have
Part A
or Part B
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Note:
In most cases, Medicare does not pay
for health care you get while traveling outside of the United
States.
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What you pay when you have The Original Medicare Plan and use Part
A:
The
Original Medicare Plan (Part A) co-payment page What you pay when you have The Original Medicare Plan and use Part
B:
The
Original Medicare Plan (Part B) co-payment page
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