As you age, your health needs shift and change. Medicare offers a way to get the care you need at an affordable rate and is accepted by Shyamala Arani Purushotham, MD, FACP, CPHQ, and Pooja Naik, MD, of Passion Health Primary Care in Irving, Plano, Frisco, Prosper, Aubrey, Kemp, Kaufman, Flower Mound and Forney (Temporarily Closed). If you have questions about how to meet your health and wellness needs through Medicare, call the office to book a visit or schedule online in just a few clicks.
Medicare is a federal health insurance program you become eligible for once you reach the age of 65. People with certain disabilities can qualify for Medicare before they are 65, as can those diagnosed with end-stage renal disease.
The program has three distinct parts.
This coverage includes hospital stays, skilled nursing facility care, hospice care, and limited home health care benefits. Most people don’t pay a premium for this coverage.
This coverage includes physician visits, preventive care, certain medical equipment, and outpatient services. Everyone pays a premium for Part B coverage; if you earn more than $97,000 (individual) or $194,000 (couple), you’ll pay a higher amount.
This coverage includes prescription medications and vaccines. The monthly cost of these plans varies based on which option you select.
Medicare allows you to see the doctor of your choice as long as that practitioner accepts Medicare and is currently accepting new patients. The team at Passion Health Primary Care welcomes Medicare patients.
These annual preventive health visits offer a chance to check in with your provider to review your current health and identify areas where improvements can be made.
Wellness visits offer the chance to avoid chronic disease and feel and function your best daily.
Some of the areas you’ll cover during a wellness visit include:
Medicare coverage includes preventive health services like wellness visits and physical exams. If you become sick or injured, acute care visits or “sick visits” include a thorough diagnostic assessment and personalized treatment plan.
Many people, especially those 65 and older, live with one or more chronic health conditions. If you have asthma, diabetes, hypertension, high cholesterol, heart disease, or any other chronic health issue, working with your physician can help you feel and function better every day.
When you’re ready to book your visit, call the office or spend a few moments on the online scheduling page. Medicare is a federal health insurance program for people age 65 and older and for certain younger individuals with disabilities or qualifying medical conditions. Medicare began in 1965. Medicare helps pay for medical care. You receive services from providers who accept Medicare, and Medicare pays its share of approved costs. You qualify if you: Are age 65 or older Have a qualifying disability Have end-stage renal disease or ALS Most people become eligible at age 65. Not always. If you’re still working and have employer coverage, you may delay Part B without penalty. You should apply during your Initial Enrollment Period, which begins 3 months before your 65th birthday. No, unless you qualify due to disability or specific medical conditions. People with limited income and resources may qualify for both (called “dual eligibility”). Part A covers: Hospital stays Skilled nursing facility care (short-term) Hospice care Limited home health care Part B covers: Doctor visits Preventive care Lab tests and imaging Mental health services Durable medical equipment Outpatient therapy Part D covers prescription medications through private drug plans. Part C refers to Medicare Advantage, which is different from Original Medicare. Part A is usually premium-free. Part B requires a monthly premium. Most people pay: $0 for Part A A monthly premium for Part B 20% coinsurance for most Part B services No. Part B always has a premium. Yes, in many cases they may be deductible as medical expenses. Medicare covers: Primary care visits Specialist care Preventive screenings Chronic care management Mental health services Physical therapy Home health care Hospice care Yes, when medically necessary. Yes, when medically necessary. Yes, but only spinal manipulation for certain conditions. Yes, for chronic low back pain under specific conditions. Yes, when ordered by a provider and eligibility criteria are met. Medicare does not cover long-term nursing home care, but it may cover short-term skilled nursing after hospitalization. No, routine dental care is not covered. No. Routine eye exams are not covered, but exams for medical eye conditions are covered. No, routine vision care and LASIK are not covered. No. Hearing tests may be covered, but hearing aids are not. Medicare generally does not cover weight-loss medications. Coverage may apply when prescribed for diabetes or other approved conditions. Yes. Medicare covers hospice care for patients with a terminal illness. Medicare: federal program based on age or disability Medicaid: state-run program based on income No. They are different programs with different eligibility rules. Common plans include Plan G, Plan N, Plan F (for eligible individuals), Plan A, and Plan K. Plan G is a popular Medigap plan that covers most out-of-pocket costs except the Part B deductible. October 15 – December 7 (for coverage changes). You may delay Part B if you have employer coverage and enroll later without penalty. Yes. We accept Original Medicare and provide comprehensive primary care services. No. Original Medicare does not require referrals. Nationwide provider access No networks No referrals required Consistent federal coverage rules Freedom to choose doctors and specialists Irving, Plano, Frisco, Prosper, Aubrey, Kemp, Kaufman, Flower Mound, Forney, and nearby Texas areas Care with Compassion. Care with Consistency. Medical Disclaimer – FAQ Content The information provided on this FAQ page is for educational and informational purposes only and is not intended as medical advice, diagnosis, or treatment. Content related to high cholesterol, diet, supplements, medications, and lifestyle is general in nature and may not apply to every individual. Health conditions such as high cholesterol, heart disease, diabetes, and hypertension vary based on personal medical history, genetics, and other risk factors. Always consult a licensed healthcare provider before making changes to your diet, exercise routine, supplements, or medications. Reading this content does not establish a physician–patient relationship. Do not disregard or delay professional medical advice because of information found on this website. If you are experiencing symptoms such as chest pain, shortness of breath, dizziness, or other urgent medical concerns, seek immediate medical attention or call emergency services.
Medicare – Frequently Asked QuestionsPassion Health Primary Care
Medicare Basics
What is Medicare?
When did Medicare start?
How does Medicare work?
Eligibility & Enrollment
Who qualifies for Medicare?
At what age can you get Medicare?
Is it mandatory to sign up for Medicare at age 65?
When should you apply for Medicare?
Can I get Medicare at 55?
Who is eligible for both Medicare and Medicaid?
Medicare Parts Explained
What is Medicare Part A?
What is Medicare Part B?
What is Medicare Part D?
What is Medicare Part C?
Medicare Costs (Original Medicare)
Is Medicare free?
How much does Medicare cost at age 65?
Can I get Medicare Part B for free?
Are Medicare premiums tax deductible?
What Medicare Covers
What does Medicare cover?
Does Medicare cover cataract surgery?
Does Medicare cover physical therapy?
Does Medicare cover chiropractic care?
Does Medicare cover acupuncture?
Does Medicare cover home health care?
Does Medicare pay for nursing homes?
Vision, Dental & Hearing
Does Medicare cover dental?
Does Medicare cover dentures or dental implants?
Does Medicare cover eye exams?
Does Medicare cover vision or LASIK surgery?
Does Medicare cover hearing aids?
Medications & Weight-Loss Drugs
Does Medicare cover Ozempic, Wegovy, or Zepbound?
Hospice & End-of-Life Care
Does Medicare cover hospice care?
Medicare vs Medicaid
What is the difference between Medicare and Medicaid?
Is Medicare and Medicaid the same?
Supplements & Extra Coverage
What are the top Medicare supplement (Medigap) plans?
What is Medicare Part G?
Enrollment Periods
When is Medicare open enrollment?
When should I sign up if still working?
Medicare Care at Passion Health Primary Care
Does Passion Health Primary Care accept Medicare?
Do I need referrals with Medicare?
Why Patients Choose Original Medicare
Passion Health Primary Care proudly serves Medicare patients in
