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Insurance
The Healthy Aging Program at Atlantic Health System suggests the following helpful resources to help seniors find information on Medicare, Medicaid and long-term care insurance.
Medicare
Medicare is a joint federal-state funded government health insurance program for people age 65 or older, as well as many people living with disabilities. It consists of the following parts:
- Part A
Medicare Part A (hospital insurance) covers hospital care, some skilled nursing and sub-acute inpatient care, and some home health and hospice care. The majority of people on Medicare have Part A.
- Part B
Medicare Part B (medical insurance) helps cover doctors' services, outpatient hospital care, and some other medical services that Part A does not cover, such as physical and occupational therapy. Part B helps pay for these covered services and supplies when they are medically necessary. Most people have their monthly premium for Part B deducted automatically from their Social Security checks
- Prescription Drug Plans
Also known as Medicare Part D, Medicare Prescription Drug Plans are stand-alone insurance plans that provide prescription drug coverage. Like traditional insurance companies, you use a member ID card that you get from the plan when you go to the pharmacy. Your costs will vary depending on your financial situation and which Medicare Prescription Drug Plan you choose. If you have limited income and resources, you may be eligible to get extra help to cover prescription drugs for little or no cost.
- Medigap
A Medigap policy is health insurance sold by private insurance companies that helps pay some of the health care costs that Original Medicare doesn’t cover. If you have traditional Medicare and have a Medigap policy, then Medicare and your Medigap policy will pay both their shares of your covered health care costs. Generally, when you buy a Medigap policy you must have Medicare Part A and Part B. You will have to pay a monthly premium to the Medigap insurance company in addition to your monthly Medicare Part B premium.
For general information about Medicare and up-to-date information regarding the health plans available in your area, call 1-800-MEDICARE, available 24/7.
Medicaid
Medicaid provides health insurance to people who are aged, blind or disabled who meet specific standards for financial income and resources. It pays for hospital services, doctor visits, prescriptions, nursing home care and other health care needs.
To apply for Medicaid, contact your local county Board of Social Services office:
Morris County Office of Temporary Assistance
973-326-7800
Somerset County Board of Social Services
908-526-8800
Sussex County Division of Social Services
973-383-3600
Union County Division of Social Services
908-965-2700
Long-Term Care Insurance
Long-term care insurance is a policy you pay for that will provide some coverage for extended health care in assisted living facilities and nursing homes. Medicare and most Medigap insurance policies do not pay for extended health care in facilities such as assisted living or skilled nursing facilities/ nursing homes. Some people purchase long-term care insurance to help supplement the cost of their care. Premiums range in monthly cost and the range of coverage can depend on the level of care the policyholder chooses.
National Clearinghouse for Long-Term Care Information
202-619-0724
State Health Insurance Program (SHIP)
1-800-792-8820
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