General Information & Eligibility

Welcome to the family! At FamilyCare, we provide quality care in local communities by offering a variety of health care plans designed to meet the needs of Oregonians. Our team provides personalized support, which identifies the unique services that each individual and family requires. It is exactly what you would expect from an Oregon-born, Oregon-based company that has been serving you and your neighbors for more than 25 years. FamilyCare is proud to help Oregon residents attain the healthcare they deserve. FamilyCare health care is available in Multnomah, Clackamas, Morrow, Umatilla, Washington, and Clatsop counties.

Medicare is a federal health insurance program that helps millions of people receive the health care they need. You are eligible for Medicare if:

1. You are age 65 or older and;
2. You are a U.S. citizen or legal resident for at least five consecutive years

In addition, you may qualify if you are:

• Under 65 with a qualified disability or;
• Any age and have End Stage Renal Disease

What is Medicare?
Medicare is health insurance for people 65 years or older, under age 65 with certain disabilities, and any age with end-stage renal disease (ESRD) or Lou Gehrig's disease.

Medicare benefits are provided in four parts:

PART A - Hospital Services

• Hospital
• Skilled Nursing
• Home Health
• Hospice

Medicare Part A helps pay for inpatient hospital care, selected skilled nursing  facilities, hospice care, and some home health care. Medicare Part A is  premium-free for most people.

PART B - Professional Services

• Physicians
• Outpatient Hospital Services
• Durable Medical Equipment

Medicare Part B covers doctors office visits, both primary care and specialists.  Premiums are paid through payroll deduction. You are eligible to sign up at age  65. Most beneficiaries do pay a monthly premium to be covered under  Medicare Part B – the part that helps pay for doctors, outpatient hospital  care,  and certain other health care that Part A doesn't cover, such as physical and  occupational therapy.

PART C - Medicare Advantage

• Services covered by Part A and Part B

You must be in Medicare Part A and Medicare Part B to be eligible for Medicare  Part C.  Medicare Part C is from private insurers. This will replace Medicare A and  Medicare B and will add more benefits than typical Medicare Part A and Part B. It  can be an HMO (a Health Maintenance Organization), PFFS (Private Fee For  Service), or a PPO (Preferred Provider Organization). There are many options for  the services you can receive through Medicare Part C.  You will have the option  to select what is right for you. The following Medicare site offers an excellent  book to help you choose and plan your package. (www.medicare.gov).

PART D  - Prescription Drug Coverage

• Provides insurance coverage for prescription medications

Medicare Part D is the prescription drug plan that is handled through private insurance sectors. This was added in 2006 to give Medicare patients a plan to  cover prescription medications. You will select it either separately or as part of  your Medicare Part C plan. Depending on where you live, you may have different  options for services covered by Medicare. When you enroll in Medicare, you may  want to consider adding a Medicare Prescription Drug Plan, or a Medicare  Advantage Plan (HMO or PPO) that covers Medicare Part A, Medicare Part B, and  often Medicare Part D coverage.

Click here to view our new Making Medicare Simple book.