Medicare Advantage Plans (Part C)

Medicare Advantage Plans, or Part C, are health plans under Medicare that provide all your Part A and B benefits, often including prescription drug coverage. Types include HMOs, PPOs, Private Fee-for-Service, Medical Savings Accounts, and Special Needs Plans. You use the plan’s card for care, often getting extra benefits and lower co-pays than Original Medicare. You must have Part A and B to join, pay the 2025 Part B premium ($185, or higher based on income), and possibly a plan premium. Enrollment is during your initial 7-month eligibility period (three months before to three months after turning 65) or October 15–December 7 annually.

Medicare Supplement Insurance (Medigap)

Medigap, sold by private insurers, helps cover Original Medicare’s out-of-pocket costs like coinsurance and deductibles, but not prescription drugs. Plans are standardized (e.g., Plan A, G, N) with varying coverage levels. The best time to buy is during your 6-month Medigap Open Enrollment Period starting when you’re 65 and enrolled in Part B, ensuring coverage regardless of health conditions. You pay a monthly premium plus the Part B premium.

Medicare Part D (Prescription Drug Coverage)

Part D, offered by private insurers, covers prescription drugs. Plans vary in formulary, costs, and pharmacy networks. In 2025, there’s a $590 deductible, copays/coinsurance, and a $2,000 out-of-pocket cap. Enroll during your initial eligibility period or October 15–December 7. Late enrollment without other drug coverage incurs a penalty. Premiums average $55 in 2025; Extra Help is available for low-income individuals.

Benefits of a Qualified Agent

A qualified agent with healthcare experience simplifies choosing Medicare coverage by comparing plans, explaining options, and matching them to your needs and budget. They save time, reduce costs, and provide ongoing support, helping you avoid coverage gaps or penalties.

This information obtained from www.medicare.gov

By contacting the phone number on this website, you will be directed to a licensed agent.
Medicare Coverage