Does Medicare only cover 80% of doctor bills?

[Anonymous]

Anonymous wrote:

Anonymous wrote:Do they have prescription coverage? I don't believe that's covered under A and B.

Prescriptions are Part D.

-signed, 64-year-old who is sweating out going on Medicare in a few months, given all the confusing choices

My DH found a person who specializes in Medicare who helped him figure it out. His monthly premium is dependent on our income, which is still relatively high, but not nearly what I pay for mine (self-employed, not yet 65.)

He has A, B, D and I believe N for supplemental.

[Anonymous]

Anonymous wrote:Advantage plans also come with a lot of restrictions- they’re more like an HMO in that you’re limited to particular doctors & service providers (pts, ots) vs regular Medicare, where all are in network. I’ve known people who were not eligible for the rehab center their doctor preferred because they were on Advantage - someone else with the same diagnosis on regular Medicare was approved.

There are Medicare Advantage HMOs and there are also PPOs that have out of network coverage.