Medicare Tips: The basics of original Medicare (ODD)


What makes Medicare ODD?

When you’re trying to understand how “original Medicare” – Parts A & B – works, I encourage customers to remember these three letters: O, D, D

Medicare has three gaps you should be aware of and you can remember them with these three letters

1. O – stands for out of pocket costs, which are unlimited with Original Medicare – there is no cap or limit on your out of pocket costs with original Medicare.
2. D – stands for drug coverage. Original Medicare does not cover most prescription drugs, unless you’ve been admitted to the hospital.
3. The second D – stands for doctors. If you have a doctor you like and want to keep, you need to make sure that your doctor takes patients on Medicare.

To fill these gaps, you want to investigate three types of supplemental Medicare insurance:
– The first is Medicare Advantage Prescription Drug plans. These plans offer, at a minimum, the same coverage as Original Medicare, Part A and Part B. But, they also include Part D drug coverage and they cap or limit your out-of-pocket costs for approved medical services.
– The second is Medicare Supplement plans, also called Medigap plans. These plans are designed to cover the out-of-pocket costs for covered Medical services that original Medicare does not pay.
– The last is stand-alone Medicare Part D prescription drug plans. These plans provide prescription drug benefits not covered under original Medicare.”

Medicare has neither reviewed nor endorsed this information.
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