Medicare Advantage Plans
If you’re seeking a more comprehensive package of benefits, Medicare Part A and Part B might not be enough. Luckily, there is an alternative option called Medicare Part C, also known as Medicare Advantage. This plan combines the benefits of Parts A and B, while also offering additional features.
To be eligible for Medicare Part C, you must currently receive benefits through Parts A and B. Rather than having your expenses covered through the federally funded Medicare system, your Advantage benefits will be administered by a private health insurance company. The only exception to this is hospice care, which will continue to be covered by Part A.
How Part C Works
Both the hospital and medical benefits offered through Original Medicare are included under the Advantage plan, allowing you to receive help with covering the costs of a hospital stay, skilled nursing needs, routine visits to your primary care physician, and more. One of the more attractive portions about Medicare Part C has to do with the additional benefits that are often included in many of these plans.
Part C enrollees usually have coverage toward prescription drugs, dental care, vision services including eyeglasses, hearing care, wellness benefits, and more. Keep in mind that each Advantage plan will have its own set of stipulations, so selecting the combination of benefits that will best meet your medical needs is important.
Costs And Considerations
Medicare Part A is typically free for most individuals, whereas Part B involves a monthly premium. Similarly, Medicare Advantage (Part C) requires you to pay for your Part B premium, along with any expenses related to Part A. This coverage also entails various deductibles, copayments, and coinsurance costs.
The pricing of each Medicare plan varies and is subject to change annually. You can compare different cost options before choosing a plan that suits your needs. Some plans are designed for individuals who require frequent care, while others may have higher deductibles but lower premiums for those who use their coverage less frequently.
Fortunately, Medicare Advantage plans must set a limit on out-of-pocket expenses. This means that even if unforeseen medical events occur, you will only be responsible for a certain portion of the costs before your coverage takes over.
Working With Your Provider
Medicare Advantage plans provide flexibility in cost based on the healthcare providers you choose. However, it’s essential to ensure that the plan you select includes your preferred doctor in its network of providers. This is because each plan has its own list of doctors who accept it.
Our team is made up of compassionate, friendly individuals who understand the unique needs of older adults. We take the time to listen to your concerns and provide personalized solutions that work for you. We provide additional and detailed information on Medicare Health Plans and a no-cost plan comparison to determine if you qualify for additional benefits.