Medicare Advantage Plans (Part C)

Medicare Advantage Plans are all-in-one alternatives to
Original Medicare. Offered by private insurance companies approved by Medicare,
these plans include all the benefits of Medicare Part A (hospital) and Part B
(medical)—and most also include prescription drug coverage (Part D).

Medicare Advantage Plans come in several types, including:

Health Maintenance Organizations (HMOs) Preferred Provider Organizations (PPOs) Private Fee-for-Service (PFFS) Plans Special Needs Plans (SNPs) Medicare Medical Savings Account (MSA) Plans

When you enroll in a Medicare Advantage Plan, you still have
Medicare—but your coverage comes through the plan, not Original Medicare.

How Medicare Advantage Works

Medicare pays a fixed monthly amount to the insurance
company offering your plan. In turn, the plan must follow Medicare’s rules, but
it can set its own costs and coverage guidelines. For example, some plans
require referrals to see specialists or only cover services from in-network
providers (except in emergencies).

What’s Included

All Medicare Advantage Plans must cover everything Original
Medicare does—and many offer extra benefits like:

Prescription drug coverage Dental, vision, and hearing care Wellness programs or gym memberships Over-the-counter benefits

What to Know About Costs

Out-of-pocket costs vary by plan and may include premiums,
deductibles, copays, and coinsurance. Some plans have a $0 monthly premium,
while others may charge more depending on coverage and benefits.

Important Reminder on Drug Coverage

If your Medicare Advantage Plan includes drug coverage, you
don’t need (and can’t enroll in) a separate Medicare Prescription Drug Plan
(Part D). Doing so will automatically disenroll you from your Medicare
Advantage Plan and switch you back to Original Medicare.

Questions about which plan fits you best? We’re here to help! Contact us today for a free consultation and personalized plan comparison.