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What Medicare Covers

Here’s a quick look at what Medicare covers under each part.

Original Medicare covers a range of medical services and supplies in hospitals, doctors’ offices, clinics and other health care settings. Services are either covered under Medicare Part A (Hospital Insurance) or Medicare Part B (Medical Insurance).
    • Inpatient hospital care
    • Skilled nursing facility care for inpatient skilled nursing and rehabilitative services
    • Inpatient Hospice Care
    • Religious nonmedical health care institution (Inpatient)

    • Doctors’ services (including office visits)
    • Preventive care such as bone density tests and mammograms
    • Durable medical equipment
    • X-rays, MRIs, EKGs
    • Physical Therapy
    • Ambulance and Emergency Room

    • Provides more coverage than Original Medicare to help lower out-of-pocket costs.
    • May include medical coverage and Medicare-approved prescription drug coverage.
    • Feature predictable copayments, so you’ll always know what you’ll pay for visits to the doctor.
    • Provides coverage with lower out-of-pocket costs when you use the plan’s specific network of doctors, hospitals and other health care providers.

  • A Medicare-approved Prescription Drug Plan (PDP) (also referred to as Part D) may be sold separately and is available from private insurance companies. These plans:

    • Provide benefits that help to reduce your prescription drug costs.
    • Typically cover both brand-name and generic drugs.
    • Provide prescription drug coverage if you have Original Medicare or Original Medicare and a Medicare Supplement plan. (For information about covered benefits, limitations and exclusions, please see your coverage documents, as well as medicare.gov)
    • May be part of Medicare Advantage plans.
    • Braven Health does not currently offer standalone Part D coverage. If you want to learn more about these types of plans, visit Medicare.HorizonBlue.com to learn about the plan options offered by Horizon Blue Cross Blue Shield of New Jersey.