Medicare Advantage
Medicare Advantage - Part C
Another way to get your Medicare benefits
- An alternative to Original Medicare (Parts A & B)
- Plan members are still in the Medicare program
- Benefits are administered by the plan
- Plans offered by private insurance companies
Medicare Advantage
All Medicare Advantage plans cover:
All the benefits of Part A (except hospice care, which is still covered by Part A) All the benefits of Part B. Most Medicare Advantage plans cover: Prescription drugs
Medicare Advantage plans may offer additional benefits and features, such as: Dental exams, cleanings and X-rays Eye exams, eyeglasses and corrective lenses, Hearing tests and hearing aids, Wellness programs and fitness memberships
Medicare Advantage plans have an annual out-of-pocket maximum to help protect against high costs.
Medicare Advantage Plan Types
Coordinated care plans
- Health Maintenance Organization plans (HMO)
- Preferred Provider Organization plans (PPO)
- Point of Service plans (POS)
- Special Needs Plans (SNP)
- Other plan types
- Private Fee-For-Service plans (PFFS)
- Medical Savings Account plans (MSA)
Medicare Advantage Fast facts
- Must be enrolled in both Medicare Part A and Part B and live in plan service area
- Can’t be denied coverage based on current financial or health status, including pre-existing conditions*
- May be required to use provider and pharmacy networks
- Coverage and costs vary by plan and may change each year
- Annual limit on out-of-pocket costs for covered services
- May charge a monthly plan premium
- Must continue to pay Part B premium to Medicare