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Original Medicare

Original Medicare is a government health insurance program in the United States that provides coverage for eligible individuals who are 65 years of age or older, people with certain disabilities, and those with end-stage renal disease.


The terms used to reference Medicare include: Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage plans), Part D (prescription drug coverage), Original Medicare (combination of Part A and Part B), and Medigap (supplemental insurance to cover cost not covered by Originals Medicare).

For More Information, Visit Medicare.gov
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Medicare Advantage Health Plan

Medicare Advantage Health plans, also known as Part C, is an alternative to Original Medicare (Part A and Part B) offered by private insurance companies approved by Medicare. Unlike Original Medicare, Medicare Advantage plans often include additional benefits such as prescription drug coverage, dental, vision, and hearing services. Medicare Advantage plans usually have a network of doctors and hospitals that participants must use, whereas Original Medicare allows individuals to see any healthcare provider that accepts Medicare.
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Medicare Summary Notice (MSN)

A Medicare Summary Notice (MSN) is not a bill but rather a consolidated document that provides a summary of your Original Medicare claims during a three-month period. The MSN includes details on the following information:

  • All healthcare services or supplies you have received during the three-month period.
  • What Medicare paid for those services or supplies.
  • Any out-of-pocket cost you may owe the provider.

Download a sample summary notice:

Part A Medicare (PDF)  |  Part B Medicare (PDF)  |  DME Medicare (PDF)

What Is Covered by Original Medicare 

Medicare Part A

Medicare Part A covers hospital insurance, including inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care services.

Medicare Part B

The rental costs of medically necessary equipment and accessories prescribed by a practitioner fall under the Durable Medical Equipment section of Original Medicare Part B (Medical Insurance). Original Medicare Part B will help pay for equipment, supplies, and their delivery when a practitioner prescribes the treatment as medically necessary and when other conditions and required coverage criteria are met. Medicare will typically cover 80% of the Medicare-approved cost after you meet your Part B deductible, and you will be responsible for the remaining 20% of the Medicare-approved amount unless you have supplemental insurance that may pay for all or for a portion of your out-of- pocket cost.

Medicare Part D

Medicare Part D is the prescription drug coverage program that helps cover the cost of prescription drugs, including brand name and generic drugs. Medicare Part D coverage varies based on the specific plan chosen, but it generally includes outpatient prescription drugs, and some vaccine coverage.

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Oxygen Therapy

Lincare covers stationary oxygen, and for those patients who live an active lifestyle and qualify for coverage of a portable oxygen system, Lincare can also supply portable oxygen. Remember, Medicare covers 80% of the Medicare-approved cost, and you're responsible for 20% of the cost after meeting your Part B deductible.

Your practitioner will be able to make qualification determination based on the medical necessity for such therapy.

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Medicare Donut Hole

The Medicare donut hole, also known as the coverage gap, is a temporary limit on what Medicare Part D prescription drug plans will cover for prescription drug costs. It is a phase of Medicare Part D coverage where beneficiaries have to pay a larger share of their prescription drug cost until they reach catastrophic coverage. Once you reach the out-of-pocket threshold, you will enter the catastrophic coverage phase, where you will pay a smaller coinsurance or copayment amount for coverage drugs for the rest of the year.

Learn More About the Medicare Donut Hole
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Mail Order Pharmacy Through Lincare Pharmacies
 When Medicare patients receive certain Medicare-covered respiratory inhalation medication through Lincare pharmacies the services are billed under a patient’s Medicare Part B benefits covering 80% of the approved amount for medications. The remaining 20% may be your responsibility, along with any applicable deductibles or co-payments.

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