Doctor explaining Medicare options to a senior

Medicare for Seniors

Coverage, Benefits & Long-Term Care Options

Medicare does not pay for long-term care. Medicaid does pay for long-term care in nursing homes only. A few states, such as Vermont, have recently begun offering Medicaid long-term care benefits both in the home and in nursing homes.

Medicare is a health insurance program for Americans age 65 or older, people under age 65 with certain disabilities, and people of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant).

Medicare Hospital Insurance (Part A)

Cost

Premium-free for most people who qualify (if you or a spouse paid Medicare taxes while working, you qualify).

Hospitalization Costs (per hospital stay)

Skilled Nursing Facility (Nursing Home)

Home Health Care (Skilled Care Approved by a Medical Doctor)

Includes Registered Nurse, Physical Therapist, Occupational Therapist, and Speech Therapist. It does not include non-medical custodial care provided by Senior Home Care Agencies.

Hospice Care

Medicare Medical Insurance (Part B)

Medicare supplemental insurance helps pay the "gap" between what Original Medicare (Parts A and B) pays for your health care and what you pay out of pocket, including deductibles, copayments, and coinsurance.

Co-payment: 20% for Medicare-approved costs

Part-time Skilled Home Health Care of a homebound patient (Registered Nurse, Physical Therapist, Occupational Therapist, Speech Therapist) costs $0 under Part B.