Medicare
Medicare Advantage Plans (Part C)
Medicare Advantage Overview
$0 premium plans
No annual deductible plans
Include Rx Drug coverage
Only pay for what you use
Must be enrolled in both Part A & Part B to qualify
Many Medicare Advantage plans offer:
Medicare Advantage Plans are another way to utilize your Medicare Part A & Part B coverage. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare.
Highlights of many Medicare Advantage plans:
- Medicare Advantage Plans provide coverage for gaps in your Medicare coverage and can save you money while also putting limits on your out of pocket expenses.
- Monthly premiums start at zero dollars $0 per month.
- Each plan has a specific network of providers and may require your Primary Care Physician to refer you to a Specialist.
- Some plans offer you the ability to go outside the network and not require a referral. Many include a Part D, Prescription Drug Plan (PDP), often called MAPD plans.
- Many include a Part D, Prescription Drug Plan (PDP), often called MAPD plans
- Medicare Advantage plans are not as financially predictable as Medicare Supplement (Medigap) plans, but help keep monthly premium down. You pay for what you use.
- The popularity of these plan is due to benefits such Chiropractic coverage, no cost fitness center, hearing aids, and routine vision care benefits being covered, where Original Medicare typically does not cover them.
The most Common Types of Medicare Advantage Plans:
Health Maintenance Organization (HMO) Plans
Preferred Provider
Organization (PPO) Plans
Organization (PPO) Plans
Private Fee-for-Service
(PFFS) Plans
(PFFS) Plans
Special Needs Plans
(SNPs)
(SNPs)