Part B Medicare: An Overview

By Roz Jones

As a caregiver, you may be responsible for managing your loved one’s health care. If your loved one is enrolled in Medicare, you may be wondering what Part B covers and how it works. Here’s a quick overview of Part B Medicare.

What is Part B Medicare & What Does it cover?

Part B is sometimes called “Medigap” coverage because it helps cover some of the costs not covered by Part A. This can include things like outpatient care, preventive services, and durable medical equipment. 

Who is eligible for Part B Medicare?

In order to be eligible for Part B Medicare, your loved one must be 65 years of age or older and a United States citizen or legal permanent resident. Your loved one may also be eligible if you are under 65 years old and have a disability.

What Doesn’t Medicare Cover?

There are some services that Part B does not cover. It is important to note that Part B Medicare does not cover hospitalization costs of nursing home care. These include long-term care, dental care, eyeglasses, and hearing aids. Additionally, Part B has a deductible that must be met before coverage begins. Once the deductible is met, Part B pays for 80% of covered services. Your loved one is responsible for the other 20%. 

How much does Part B Medicare cost?

Part B also has an out-of-pocket maximum. This is the most your loved one will have to pay for covered services in a year. Once the out-of-pocket maximum is met, Part B pays for 100% of covered services for the rest of the year. 

As a caregiver, it is important to be aware of the different types of coverage that are available through Medicare. In this blog post, we’ve given you an overview of what Part B Medicare is and what it covers. We hope this information will be helpful to you as you navigate the world of healthcare with your loved ones.

If you would like to learn more about Part B Medicare, be sure to sign up for my newsletter below!


Are you a Caregiver who is struggling with being confident in the decisions you have to make for your aging clients or loved ones? Check out the latest episode of The Caregiver Cafe Podcast to learn why you should trust your gut!

As a caregiver, should you trust your gut when making decisions that affect your loved one?
Research has shown that when people base decisions on their instincts, they often come up with the correct answers to problems.

In this episode, I share why you should trust your gut when responsible for the health and well-being of a loved one.

Press play to listen in.

ATTENTION: INSTAGRAM UPDATE!!!

Thank you for your patience with me as I attempted to gain access to my Instagram account @rozjonesenterprises! Unfortunately, I have been prompted to create a NEW Instagram account.

Be sure to follow my new Instagram page @rozcaregiverconsulting and check out my top business mistakes as a Business Owner!

(Click the link above to access my new Instagram page with ease!)


Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver. 

Get Part A Medicare and Be Preparedโ€ฆ

By Roz Jones

What is Part A Medicare?

Medicare Part A is the most important part of your aging loved one’s Medicare coverage. It pays for inpatient hospital care, certain types of nursing facility care, home health care and hospice care. If your aging loved one is eligible for Social Security benefits or Railroad Retirement Board disability benefits and has paid Medicare taxes for at least 10 years, they are probably eligible to get Part A without having to pay a premium.

How does my aging loved one pay for Part A Medicare?
Part A Medicare pays for itself through monthly premiums that are deducted from your aging loved oneโ€™s Social Security benefits. If your aging loved one is not receiving Social Security benefits, they can still enroll in Part A Medicare, but they will have to pay a monthly premium.

Eligibility
Your aging loved one is eligible for Part A Medicare if they are 65 years of age or older. If your loved one is under 65 years of age and has been receiving disability benefits from the Social Security Administration for at least 24 months.

If your loved one is not eligible for Part A Medicare, they can still enroll in Part B Medicare. Part A Medicare has no annual deductible and no coinsurance amount; however, there is a lifetime maximum benefit limit of $4000.

Part A Medicare is a government-sponsored health insurance program that covers hospitalization, skilled nursing facility care, hospice care, and home health care. If your aging loved one is 65 years of age or older, or if they are under 65 years of age and have been receiving disability benefits from the Social Security Administration for at least 24 months, they may be eligible for Part A Medicare. Most people who are eligible for Part A Medicare do not have to pay a monthly premium; however, there is a lifetime maximum benefit limit of $4000.

If you would like to learn more about Part A Medicare, be sure to sign up for my newsletter below!


Are you looking into admitting your loved one into an assisted living facility? Check out my latest podcast where I share 5 things you should be aware of when finding a facility!

It can be overwhelming to face the fact that your elderly loved one can no longer live independently. Finding a facility that can provide the assistance and care that your loved one deserves can be challenging, and there is a lot at stake.
Elder abuse and neglect are very real concerns in nursing homes and residential care facilities. It is of the utmost importance to do your due diligence prior to admitting your loved one into care.ย 

In this episode, I share 5 things you should be aware of as you look into admitting your loved one to a living assistant facility.ย 

Press play to listen in.

ATTENTION: INSTAGRAM UPDATE!!!

Thank you for your patience with me as I attempted to gain access to my Instagram account @rozjonesenterprises! Unfortunately, I have been prompted to create a NEW Instagram account.

Be sure to follow my new Instagram page @rozcaregiverconsulting and check out my top business mistakes as a Business Owner!

(Click the link above to access my new Instagram page with ease!)


Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver. 

Determining if Your Loved One Qualifies for Medicare

By Roz Jones

Many seniors qualify for Original Medicare (Parts A and B), which is a government health insurance program. Eligibility for Original Medicare is based on several factors, including age, citizenship, residency, and work history. Here’s a breakdown of each factor to help you determine whether your loved one qualifies. 

Age

The eligibility age for Medicare is 65. If your loved one is 64 or younger, they do not qualify for Original Medicare. 

Citizenship & Residency

To be eligible for Medicare, your loved one must be either a U.S. citizen or a permanent legal resident who has lived in the United States continuously for at least five years. If they do not meet these criteria, they do not qualify for Original Medicare. 

Work History 

Medicare is primarily funded through payroll taxes. As such, most people who qualify for Original Medicare have worked at least 10 years in the United States and have paid into the system through payroll taxes. However, there are some exceptions. For example, people with certain disabilities or those who have End-Stage Renal Disease (ESRD) may also qualify for Original Medicare regardless of their work history. 

If you’re not sure whether your aging loved one qualifies for Original Medicare, use this guide as a starting point. Eligibility is determined by several factors, including age, citizenship/residency status, and work history. Keep in mind that there are some exceptions to these rulesโ€”for example, people with disabilities or those with ESRD may still be eligible even if they don’t meet all the criteria listed above. When in doubt, it’s always best to contact the Social Security Administration directly to find out for sure whether your loved one qualifies for this important health insurance program.

If you would like to learn more about Original Medicare be sure to sign up for my newsletter below!


Do you know your love language? Check out my latest podcast to learn more about how you can express love to your aging clients or loved ones in the role of a Caregiver.

The 5 love languages as shared by Gary Chapman have been transformational in the lives of many individuals who are looking to build relationships with their loved ones and these are also applicable in caregiving.

In this episode, I share how love can be expressed in caregiving. The caregiver role is one that is full of so many emotions and yet the central expression is love.

ATTENTION: INSTAGRAM UPDATE!!!

Thank you for your patience with me as I attempted to gain access to my Instagram account @rozjonesenterprises! Unfortunately, I have been prompted to create a NEW Instagram account.

Be sure to follow my new Instagram page @rozcaregiverconsulting and check out my top business mistakes as a Business Owner!

(Click the link above to access my new Instagram page with ease!)


Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver. 

Reviewing Your Aging Loved One’s Medicare Benefits

By Roz Jones

Medicare open enrollment is approaching fast with the enrollment period beginning on October 15th. As your loved one’s age, it’s important to review their Medicare benefits annually to make sure they’re still getting the best coverage possible. Here are some tips for Caregivers to consider when reviewing your aging loved oneโ€™s medicare benefits:

Understand the Benefits

Medicare is a federal health insurance program for people who are 65 or older, some disabled people under age 65, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant). Medicare helps pay for doctor’s services, hospital care, home health visits, and other medical services. In addition to also covering some prescription drugs.

Your aging loved one may be eligible for Medicare if they:

  • Are 65 or older;
  • Have been receiving Social Security disability benefits for 2 years;
  • Are blind or disabled; or
  • Have End-Stage Renal Disease.

Check Your Loved One’s Enrollment

If your aging loved one is already enrolled in Medicare, you should be able to verify from the Social Security Administration. The first thing you should do is check their enrollment information to make sure itโ€™s up-to-date. Ask them if they have their own Social Security card or other documents that show their Medicare enrollment like a statement of benefits or an annual notice about their coverage. If not, ask them to request an update online or by calling 1-(800) 772-1213.

Look at the plan options offered by Medicare during open enrollment and compare them with what your loved one currently has selected. Ensure they are getting the right level of benefits based on their age and health status. This will help you understand how changes might affect him or her financially (and how costly those changes may be). If he/she plans on switching plans this year anyway, now would also be a good time for him/her to pick out new glasses or contacts before they get older and harder to find in stores!

Check that they are getting the right amount of coverage at each stage of life so that there arenโ€™t any gaps in coverage due to deductibles or co-pays in retirement years when medical costs are higher than before retirement age.

Review and Update Your Loved One’s Information

Also if there have been any changes, be sure to review and update your loved one’s information. Make sure their address, phone number, and other contact information are all up to date.

If you find that your loved one’s Medicare coverage needs have changed since the last time they filed claims and paid premiums on their own (or if they’ve never filed before), itโ€™s important to review the benefits carefully so that there are no gaps in coverage. You can learn more about Medicare benefits, enrollment, and updates by visiting medicare.gov or calling 1-800-MEDICARE (1-800-633-4227).

I hope this assists you with understanding Medicare benefits and the enrollment process, but I know it can be confusing and overwhelming at times. If you have any questions or concerns about your aging loved oneโ€™s coverage, please donโ€™t hesitate to visit medicare.gov or call 1-800-MEDICARE (1-800-633-4227).

If you want to know more about this sign up for our newsletters.


Is your faith deteriorating while working in the role of a caregiver? Check out my latest podcast to listen to part 2 and find out how Dr. Herbert suggests Caregivers can restore their faith!

In this episode, we continue our conversation about caregivers in a health crisis with Dr. Herbert and we discuss our love for God, Why God, and Who is gonna help me, God.

Much of our love for God can lead us to take up caregiving roles, it may affect our physical well-being and this will have us questioning God on where He is.

ATTENTION: INSTAGRAM UPDATE!!!

Thank you for your patience with me as I attempted to gain access to my Instagram account @rozjonesenterprises! Unfortunately, I have been prompted to create a NEW Instagram account.

Be sure to follow my new Instagram page @rozcaregiverconsulting and check out my top business mistakes as a Business Owner!

(Click the link above to access my new Instagram page with ease!)


Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver. 

Resources for the Only Child Caregiver

By Roz Jones

Being an only child caregiver, can feel very isolating. You may feel like youโ€™re way in over your head and you have no one to turn to for help or support. But there are many resources available to only child caregivers. Here are a few of the best:

The National Caregivers Library

The National Caregivers Library is a great starting point. They have information on everything from how to deal with difficult behaviors to managing your own stress levels. You can also find support groups in your area or join an online community of caregivers. These groups can be a valuable source of support and information.

Caregiver Action Network

The Caregiver Action Network is a national Family Caregiver Support Program. They offer educational materials, peer support, and referrals to local programs. They also have an online forum where caregivers can connect with each other.

National Alliance for Caregiving 

The National Alliance for Caregiving is a non-profit organization that offers support and resources for caregivers. They offer educational webinars, a caregiving library, and an online community.

Talk To Your Family and Friends

You should also talk to your family and friends about your new role. They may be able to offer help and support that you didn’t even know you needed. And don’t forget to take care of yourself. This is a difficult time, and it’s important to make sure that you’re taking care of your own needs as well as your aging loved oneโ€™s

Being a caregiver is never easy, but it’s especially challenging when you’re doing it alone. Fortunately, there are many resources available to help you through this tough time. Take advantage of them, and lean on your support systemโ€”you’ll get through this!


Is your faith deteriorating while working as a Caregiver? Check out my latest podcast to learn ways you can restore your faith!

The caregiving experience is not a light-hearted one, caregivers need care too and sometimes may lose their way.

However, your faith in God is always a reminder that He will come through for you in times of need.ย  So what happens when the faith is deteriorating and a caregiver is in need?

Dr. Herbert highlights this in Part 1 of this episode.

ATTENTION: INSTAGRAM UPDATE!!!

Thank you for your patience with me as I attempted to gain access to my Instagram account @rozjonesenterprises! Unfortunately, I have been prompted to create a NEW Instagram account.

Be sure to follow my new Instagram page @rozcaregiverconsulting and check out my top business mistakes as a Business Owner!

(Click the link above to access my new Instagram page with ease!)


Subscribe to The Caregiver Cafe Weekly Newsletter!

Caregiving can be a roller coaster of ups and downs. The information that you will receive from The Caregiver Cafe Weekly Specials Newsletter will support you as a caregiver. Remember…

1. YOU ARE NOT ALONE: The problems you face as a caregiver are experienced by other caregivers. Knowing that you’re not alone can be comforting. 

2. Tools and Resources:  Find caregiver stress management tools and gain perspective from other caregiver’s experiences.

3. LEARN TO: Ask for help, accept help when it is offered, and acknowledge yourself on this caregiving journey. Hear from experts on how to balance caregiving responsibilities by taking care of your needs and involving others to help manage the natural stress and isolation of being a caregiver.