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Different Parts of Medicare: Welcome

THE DIFFERENT PARTS OF MEDICARE

The FOUR Parts of Medicare 

Part A

$0 Premium if you or your spouse paid Medicare taxes long enough while working - generally at least 10 years, or 40 quarters. 

Inpatient/Hospital-

          You pay:   $1632 Deductible Days 1-60

                            ($1676 in 2025)

   Days 61-90:  $408 per Day  ($419 in 2025)

  Days 91-150:  $816 per Day ($838 in 2025)

 After day 150:  You pay all costs.​

Inpatient Rehab/Skilled Nursing-

  Days 1-20:   $0

        21-100:   $204 per Day ($209.50 in 2025)

  Days 101 and beyond: You pay all costs.              

Part C

$0-$150 ($0-$247 in 2025)per month Premium Options

Medicare Advantage All In One HMO, PPO, PFFS

Forfeit Rights to Medicare

Networks

Max Out of Pocket from $2999-$14,000 (varies as it depends on the plan)

Most plans have Drug coverage

Some plans have gym options, dental, vision and other products.

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*We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Part B

$174.70 per month Premium ($185 in 2025) 

Outpatient/Does Not require overnight stay

              You pay:  $240 Deductible per year

                                ($257 in 2025)

   Medicare pays:  80% of costs

              You pay:  20% of costs

   No Networks

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Part D

*$0.50-$150 per month Premium

a/k/a Prescription Drug Coverage

$545 yearly Deductible (may be waived for some medications) ($590 in 2025)

Pharmacy options: 

Preferred & Standard (in & out of network)

Initial Phase:  $5030 

Coverage Gap/Donut Hole:  $8000

You pay:  25%

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NEW FOR 2025​

Starting in 2025, all Medicare plans will include a $2,000 cap on what you pay out-of-pocket for prescription drugs **covered by your plan. If your out-of-pocket spending on covered drugs reaches $2,000 (including certain payments made on your behalf, like through the Extra Help program), you’ll automatically get “catastrophic coverage.” That means you won’t have to pay out-of-pocket for covered Part D drugs for the rest of the calendar year. 

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Plan G will cover all of Part A & Part B except for the Part B Deductible. You may have A, B, D & a Supplement OR A, B & C.

  *Some pay more based on income (IRMAA) click HERE for more.

**Prescriptions that are not covered by your plan do not count towards the deductible.

Different Parts of Medicare: News

TRADITIONAL MEDICARE

Questions?

Click to call us!

Different Parts of Medicare: Contact

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The HgO Group is an independent insurance agency not affiliated with the government. All services are provided at no cost, as our agents are paid directly by the insurance company when enrollment occurs. 

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SPEAK TO AN AGENT

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

 

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