High deductible plan G does not cover the Medicare Part. Note: Regardless of the type of NYSHIP plan you choose, if you are not enrolled in Parts A and B at the time that Medicare begins paying primary to NYSHIP, your NYSHIP coverage will be drastically reduced and/or canceled. Plans C and F are no longer available to people new to Medicare on or after. If you are already enrolled in a NYSHIP HMO at the time that you become eligible for Medicare and you have also enrolled in Parts A and B as instructed, your HMO will automatically move you into its Medicare Advantage Plan. Your HMO contracts directly with Medicare to provide all of your benefits (including Medicare Part D prescription drug benefits) through the Medicare Advantage Plan. Currently, the four parts of Medicare are: Medicare Part A. If you are enrolled in a NYSHIP HMO Medicare Advantage Plan: Each part covers different healthcare services you might need. Medicare-primary retirees and dependents are enrolled automatically in Empire Plan Medicare Rx, a Part D prescription drug program with expanded coverage designed specifically for NYSHIP. Medical insurance, covers medically necessary health services and supplies, like outpatient doctor visits, tests, and wheelchairs. Your original Medicare (Parts A and B) is your primary coverage, and The Empire Plan is your secondary coverage. However, there are important differences in terms of how each plan type works with Medicare to coordinate your benefits. The Empire Plan and all NYSHIP HMOs provide broad coverage for Medicare-primary enrollees and their dependents. Medicare Part D provides prescription drug benefits. When you enroll in a Medicare Advantage Plan, it replaces your original Medicare (Parts A and B) and all of your health care���except for emergency or out-of-area urgently needed care���is thereafter provided, arranged or authorized by the Plan. Medicare Part C (Medicare Advantage Plans)Īll NYSHIP HMOs provide Medicare Advantage ( Medicare Part C) coverage to Medicare-primary enrollees and dependents. See Medicare & NYSHIP for important information about when Medicare eligibility begins, when Medicare becomes primary to NYSHIP and how to enroll. The ABCDs of Medicare: What Covers What With four distinct parts, Medicare can be an alphabet soup of complexity. It is your responsibility to contact the Social Security Administration to enroll in Medicare at the appropriate time. Note: NYSHIP requires you and your dependents to be enrolled in Medicare Parts A and B when first eligible for Medicare coverage that pays primary to NYSHIP. Medicare Part B covers doctors' services, outpatient hospital services, preventive services, durable medical equipment and some other services and supplies not covered by Part A. Medicare Part A covers inpatient care in a hospital or skilled nursing facility, hospice care and home health care. For more detailed information, visit Medicare Parts A and B ("Original Medicare") Medicare has several parts see below for a brief description of each.
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