What is Medicare?
Medicare is a health insurance program of the US federal government that pays the medical and hospitalization costs of certain disabled and elderly Americans. An individual has to be either 65 years old or less or disabled to be eligible for the Medicare program. A person undergoing end stage renal disease (ESRD) treatment i.e. permanent kidney failure requiring a transplant or dialysis is also eligible for the program.
It can be availed by a US citizen, a permanent legal resident staying in the US for five contiguous years. Such a person is also eligible for social security benefits for at least 10 years on contribution to the system.
What does New Mexico Medicare Advantage Plan cover?
The New Mexico Medicare Advantage plan covers all of the Part A (hospital insurance) as well as Part B (medical insurance) facilities. These include urgent or emergency care. The most major benefit not covered under these plans is the hospice care. The said benefit is covered under the original Medicare even when the Medicare Advantage Plan is chosen. Various advantage plans give extra coverage like hearing, dental, vision and general checkup as also health and other wellness programs. Plans offered in New Mexico include the drug coverage as laid down under Plan D.
New Mexico Medicare Advantage Plan cost
Every month, New Mexico Medicare pays a fixed amount of money to the advantage plan for paying towards medical expenses. The advantage plan, run by private insurance companies, in turn pays the doctors and other healthcare service provider.
Although the New Mexico Medicare advantage plan provider must follow the original Medicare rules, it can levy out of pocket expense and premiums like co-payment for physician visit, co-insurance towards durable medical equipment (wheelchairs, scooters etc) and annual deductibles for prescription drugs.
The enrollee is also responsible for the part B New Mexico Medicare premiums, deducted from social security payments.