What is Medicare?

Medicare is federal health insurance offered primarily to people age 65 and older, and to people under age 65 with certain disabilities. Medicare started with just two parts—Part A (hospital coverage) and Part B (medical coverage). Later, as the needs of Medicare plan members changed, the federal government added Part C and Part D.

It’s important to understand that Medicare (Part A and Part B—sometimes referred to as Original Medicare) do not cover all of your medical expenses. Find out about other options that are available, and why they may be right for you.

Part A

Hospital insurance—for inpatient stays
  • Free for most people, which means no monthly premiums
  • Covers you in a hospital, skilled nursing home, or hospice, or home health care
  • When you receive care, you pay a Part A deductible and coinsurance. These are out-of-pocket expenses. You're responsible for paying these expenses unless you have a separate health insurance plan to cover them.
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Part B

Medical insurance—for doctor services and more
  • Optional coverage
  • Includes doctor services both in and of the hospital. Plus outpatient care, durable medical equipment, home health care, and some preventive services.
  • You pay the Part B monthly premium unless you qualify for a subsidy program for your premiums through Medicaid.

Part C

Medicare Advantage:
  • Part C Medicare Advantage (MA) plans replace Original Medicare with coverage offered by private organizations, like insurers, that are contracted with Medicare.
  • These plans offer everything covered by Original Medicare Part A and Part B, plus they often include prescription drug coverage and coverage of certain services not paid by Original Medicare.
  • Premiums and deductibles vary by plan.

Part D

Premera's Medicare Advantage plans conveniently combine drug and medical coverage in the same plan.

If you're choosing a Premera Medical Supplement plan and also need Part D drug coverage, you must obtain that coverage separately. Visit Medicare.gov for more information.

 

Why do many people choose to buy additional coverage?

Unless you qualify for a program to help pay your Medicare costs, you'll have to pay all these costs yourself. As mentioned earlier, there’s a monthly premium for Part B, which is typically deducted from your Social Security check each month. Both Medicare Part A and Part B have deductibles and coinsurance that you must pay. Each year, these costs are reviewed—and often adjusted—by the federal government.


It’s important to remember that Medicare does NOT cover most prescription drugs, and you may need additional prescription drug coverage.

This application is not a guarantee that you will receive coverage. Upon approval of your application, you will receive an approval letter and a contract. You can become a Premera Blue Cross Blue Shield of Alaska (Premera) Medicare supplement member if you:
Reside in Alaska,
Currently have both Medicare Part A and Part B, and
Don't receive Medicaid assistance other than payment of your Medicare Part B premium.

You do not need more than one Medicare supplement plan. If you currently have a Medicare supplement plan or Medicare Advantage plan (including a Medicare HMO or PPO), you cannot be enrolled unless you intend to replace your current coverage. Please complete a replacement form. If you purchase this contract, you may want to evaluate your existing health coverage and decide if you need multiple coverages.

You may be eligible for benefits under Medicaid and may not need a Medicare supplement plan. Medicaid is a public aid program for people with low income. It is not the same as Medicare.

If, after purchasing this plan, you become entitled to Medicaid, the benefits and subscription charges under your Medicare Supplement contract can be suspended, if requested, during your entitlement to benefits under Medicaid for 24 months. You must request this suspension within 90 days of being eligible for Medicaid. If you are no longer entitled to Medicaid, your suspended Medicare supplement plan (or, if that is no longer available, a substantially equivalent plan) will be re-instituted if requested within 90 days of losing Medicaid eligibility.

Counseling services may be available in your state to provide advice concerning your purchase of Medicare supplement coverage and concerning medical assistance through the state Medicaid program, including benefits as a "Qualified Medicare Beneficiary" (QMB) or a "Specified Low-Income Medicare Beneficiary" (SLMB).

Except that you must provide information on diseases and disorders for which you have symptoms, please do not provide any information on any part of this application about genetic testing or genetic information, including any decision by an insurance company that is based on a genetic test or genetic information.

Plan A 021202 (06-2010); 021198 (06-2010); Plan N 021203 (06-01-2010); 021199 (06-01-2010); Plan F 021204 (06-2010); 021200 (06-2010); High Deductible Plan F 021205 (06-2010); 021201 (06-2010); Plan G 042196 (01-2018); 042195 (01-2018)