Medicare Advantage

Once you have enrolled in the Medicare program, you then have to decide how to receive Medicare, Part A and Part B, benefits and whether you need additional coverage.

Is a Medicare Advantage plan is right for you?  Should you stay with Original Medicare coverage and sign up for a Medicare Supplement plan for added benefits?

Each of these options come with different benefits, costs, and rules.  Let us help you with your options before choosing.

Also called Medicare Part C, Medicare Advantage plans provide coverage through private insurance companies approved by Medicare. These companies provide all the benefits of Part A and Part B, with the exception of hospice care (that remains covered by Medicare Part A). These plans sometimes also include additional benefits, such as vision, dental, and/or prescription drug coverage.

 

 

Medicare Advantage Plans FAQ

  • You are still in the Medicare Program.
  • You still have Medicare rights and protections.
  • You still get complete Part A and Part B coverage through the plan.
  • You can only join a plan at certain times during the year. In most cases, you’re enrolled in a plan for a year.
  • You can join a Medicare Advantage Plan even if you have a pre-existing condition, except for End-Stage Renal Disease (ESRD).
  • Medicare Advantage Plans can’t charge more than Original Medicare for certain services like chemotherapy, dialysis, and skilled nursing facility care.
  • Medicare Advantage Plans have a yearly limit on your out-of-pocket costs for medical services. Once you reach this limit, you’ll pay nothing for covered services.