Medicare Advantage Plans come in all shapes and sizes, and picking the right plan is vital. Know your options before picking a plan.
Medicare Advantage Plans (Part C, or MA plans) are offered by private companies approved by Medicare. If you join a Medicare Advantage plan you still have Medicare, but you will get your Part A and Part B coverage from the Medicare Advantage Plan and NOT original Medicare.
There are multiple companies with multiple plans in your area, to review your options have an agent call you today!
Medicare Advantage Plans cover all Medicare services, and most will additionally offer extra coverage like Vision, hearing and dental. Learn more about Medicare advantage plans by reviewing options with an agent.
How it works
Medicare pays a fixed amount for your care each month to the companies offering Medicare Advantage Plans. These companies must follow rules set by Medicare.
Each Medicare Advantage plan can charge different out of pocket costs, and can also have different rules for how you get services.
such as: Whether you need a referral to see a specialist, or if you have to use a specific network of doctors, specialists and / or hospitals for non-emergency, non-urgent care.
What determines the cost of a Medicare Advantage Plan?
Your out-of-pocket costs in a Medicare Advantage Plan (Part C) depend on:
- Whether the plan charges a monthly premium.
- Whether the plan pays any of your monthly Medicare Part B (Medical Insurance) premium.
- Whether the plan has a yearly deductible or any additional deductibles.
- How much you pay for each visit or service (copayment or coinsurance). For example, the plan may charge a copayment, like $10 or $20 every time you see a doctor. These amounts can be different than those under Original Medicare.
- The type of health care services you need and how often you get them.
- Whether you go to a doctor or supplier who accepts assignment if:
- You're in a PPO, PFFS, or MSA plan.
- You go out-of-network.
- Whether you follow the plan's rules, like using network providers.
- Whether you need extra benefits and if the plan charges for it.
- The plan's yearly limit on your out-of-pocket costs for all medical services.
- Whether you have Medicaid or get help from your state.
Drug coverage and Medicare Advantage
Most Medicare Advantage Plans include prescription drug coverage. you cannot have an advantage plan and a Part D plan, if you sign up for a separate Part D plan, your part C will be dis-enrolled, however you can have a supplement plan and a Part D plan.
You cannot have an Advantage Plan and a Supplement plan, If you have a supplement and change to an Advantage Plan, it is your responsibility to contact the Supplement carrier and follow their cancellation procedures as you ARE NOT automatically dis-enrolled.
For more plan specific information call today 260-498-9813, or have an agent call you.