ORIGINAL MEDICARE
Back to GlossaryDefinition
Fee-for-service Medicare (Parts A and B) provided by the federal government, not Medicare Advantage.
Summary
Original Medicare is the traditional government-run healthcare program that includes Part A (hospital insurance) and Part B (medical insurance). Unlike Medicare Advantage plans run by private companies, Original Medicare operates on a fee-for-service basis, meaning healthcare providers are paid separately for each service they provide. Beneficiaries can see any doctor or specialist who accepts Medicare, and they typically pay deductibles, coinsurance, and copayments for services received.
Usage Context
Understanding Original Medicare is crucial when comparing Medicare options, explaining beneficiary rights and coverage limitations, and helping individuals choose between traditional Medicare and private alternatives.
Common Confusions
- Thinking Original Medicare and Medicare Advantage are the same thing
- Believing Original Medicare includes prescription drug coverage by default
- Confusing Original Medicare with Medicaid
- Not understanding that Original Medicare allows you to see any participating provider nationwide
