Colorado Medicare is federally funded health insurance program for individuals above 65 years of age.
Eligibility requirements for Medicare
I. Citizens of age 65 and above
II. Some young below 65 years of age suffering from certain disabilities
Parts of Medicare
Medicare consists of Part A and Part B
Original Medicare and the Medicare Advantage Plan are the two ways to get the Medicare coverage.
Medicare Part A (Hospital Insurance) helps to cover
v Skilled Nursing Facility Care
v Home Health Care
v Hospice Care
Medicare Part B (Medical Insurance) covers
v Doctors Services
v Outpatient Hospital and Emergency room
v Home Health care
v Durable medical equipments
v Clinical Laboratory
Cost of Medicare in Colorado
Colorado Medicare Part A is premium free to all people. The payment schedules are usually decided by Medicare. The organization providing health care is not permitted to charge more than the approved amount by Medicare. Some people have Part A and some have both Part A and Part B. Original Medicare compensates the payment for visit to any hospital, clinic or health care provider accepting Medicare services. The approved share is paid by Medicare and the remaining cost has to be bared by the person. You pay for Copayments, coinsurance and deductibles which may apply on each of the above services. If you are covered by Medicare Advantage Plan like a HMO or PPO or supplement insurance (Medigap policy), the cost may differ. It may cost less or may not cost you for the Medicare services, if the doctor, supplier or the provider has signed an agreement with the Medicare services to accept the approve amount by Medicare as fees towards the services. This type of agreement is called an Assignment.
Initial Enrollment period
You can avail the enrollment for Part B anytime in seven month period. This seven month period starts three months before you are 65 and ends three months after the month you complete 65 years of age.
|Before 65 years 3 months||By signing in this period you can get benefits or coverage of Medicare Part B from your month in which you turn 65|
|Before 65 years 2 months|
|Before 65 years 1 month|
|Month in which you complete 65 years||By signing in this month your Part B start date will be delayed|
|After 65 years 1 month||By signing in months after you turn 65,your date to get Part B benefits will be delayed|
Colorado Medicare does not cover
• Long term care
• Routine Dental care
• Cosmetic surgery
• Hearing aids