Dealing with Aging Parents - Medicare - Part 1

Medicare is something that anyone 65 and over has to deal with. I can tell you it’s very confusing. I consider myself a relatively intelligent person and it’s confusing to me. I know my parents had a difficult time understanding it. Therefore, I do think that if you have older parents on Medicare, you can be very helpful in this situation. I will only speak to issues I directly dealt with. Volumes are written about how to do this but hopefully this will help you

First, I want to clear up a couple of fallacies about Medicare.

• Medicare is free – It most certainly is not. For your entire earning life, you pay for it. 1.45% of your earned taxable income goes to pay for it. Your employer kicks in 1.45% as well. If you are self-employed, you pay 2.9% (both parts). There is no cap (unlike Social Security taxes) so no matter how much you earn, you pay Medicare tax on it. Once you are using Medicare, you pay a monthly amount (that comes out of your Social Security normally) for Part B (I’ll discuss that in a minute). For 2013, it’s 104.90 a month for most people.
  
  
• Medicare pays for everything – No, it doesn’t. For a hospital stay up to 60 days, you pay a deductible of 1184.00 and for anything after that, you pay about 300 a day up to 90 days and then it gets into “lifetime use days” which I don’t even really understand. Your Doctor visits, lab tests, durable medical equipment (oxygen tanks and generator for example), you pay 20%. There is no stop-loss as is common with regular insurance policies so no matter how many of these type expenses you end up paying, you never hit a maximum. Finally, for prescriptions, you have a 300 deductible. Then, you pay 30% of “approved drugs” until you hit the “doughnut hole” (2970) when you pay 100% until you hit 4750.00.
  

Confused yet? 

Let’s talk about the parts of Medicare. Part A is hospital and strictly hospital. It’s not doctors, even ones that come and see you at the hospital. That’s Part B – Doctors, lab work, durable medical equipment. Part D is prescription coverage. Seniors generally apply for Part A and B when they turn 65. Part D you handle getting on your own. What’s Part C? Medicare Advantage (which I know nothing about).

I think that’s enough for one day. I’ll continue with some of our experiences and some recommendations in my next post.