If you are approaching age 65, click here
HPRS Medicare eligibility information.
Medicare covers services (like lab tests, surgeries, and doctor visits) and supplies (like wheelchairs and walkers) considered medically necessary to treat a disease or condition.
Please refer to www.medicare.gov for more information.
Medicare Part A
In general, Part A covers:
- Hospital care
- Skilled nursing facility care
- Nursing home care (as long as custodial care isn't the only care you need)
- Home health services
Please note even if a beneficiary is not eligible for Social Security benefits, he or she may be eligible for Medicare Part A. If Part A is available at no cost, a beneficiary must enroll in it to be eligible for HPRS health care benefits.
Medicare Part B
In general, Part B covers two types of services:
- Medically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice.
- Preventative services: Health care to prevent illness (like the flu) or detect it an an early stage, when treatment is most likely to work best.
- Part B covers things like:
- Clinical research
- Ambulance services
- Durable medical equiment (DME)
- Mental health
- Second opinion before surgery
- Limited outpatient prescription drugs
All beneficiaries are eligible for Medicare Part B at age 65. The cost of Part B is either deducted from your Social Security check or you have to make a direct payment to Social Security. All beneficiaries who are eligible for Part B must enroll in it to be eligible for HPRS health care benefits.
Medicare Part D
In general, Part D covers prescription drugs.
Medicare Advantage programs are sometimes referred to as Part C. This is
a plan offered by a private company approved by Medicare that incorporates Medicare Parts A, B, and D coverage into a comprehensive plan.
For a brief explanation of other benefits, click on any item listed