Medicare Beneficiary

What Does Medicare Beneficiary Mean?

A Medicare beneficiary is an individual aged 65 years or older who is eligible for health services under a federal health insurance plan.

While Medicare beneficiaries are typically seniors, individuals under 65 may still qualify for Medicare benefits if they meet specific criteria, such as being a recipient of Social Security benefits or having a qualifying disability.

Insuranceopedia Explains Medicare Beneficiary

Medicare is a government health program for U.S. senior citizens (65 years and older) who have paid Medicare taxes while working.

There are four types of Medicare coverage available to beneficiaries:

• Medicare A: U.S. citizens are automatically eligible for this coverage when they turn 65. There is no premium for this plan, and it covers most of the costs associated with hospitalization.
• Medicare B: To qualify for this plan, the beneficiary must pay a premium. It covers outpatient treatment, doctor’s services, and prescribed drugs.
• Medicare C: Medicare C plans are offered by private insurance companies approved by the Medicare program. Some Medicare C plans provide additional coverage, such as vision and dental care.
• Medicare D: Like Medicare C, this plan is offered through approved private insurance companies. It provides coverage for prescribed drugs.