Medicare Advantage (MEDICARE PART C)

Medicare Advantage plans, also known as Medicare Part C or MA plans, serve as an alternative to the Original Medicare coverage provided by Parts A and B.

While these plans share several similarities with Original Medicare, they distinguish themselves by offering additional benefits not found in the standard Medicare package.

Medicare Advantage plans, often encompassing Medicare Parts A and B, frequently extend their coverage to include Part D, which covers prescription drugs. These plans may also offer additional benefits like vision, hearing, and dental coverage, which are not provided by Original Medicare, making them a more comprehensive health care option.

Choosing a Medicare Advantage plan can also offer other advantages. Unlike Original Medicare, which limits you to Medicare-approved providers, some Advantage plans offer the flexibility of out-of-network coverage, albeit usually at a higher cost. Furthermore, these plans typically cap out-of-pocket expenses, providing a predictable cost structure that can be particularly beneficial for those on a fixed income.

Operated by private insurers under contract with Medicare, these plans adhere to Medicare’s rules but can vary in terms of premiums, copays, and deductibles. This structure enables individuals to consolidate their Medicare coverage under a single plan administrator, streamlining their health care management.

Not all Medicare Advantage plans include prescription drug coverage. If you opt for a plan without it, such as a Medical Savings Account or a fee-for-service plan, you’re still eligible to join a separate Part D plan. However, enrolling in a standalone Part D plan while in a Medicare Advantage plan that includes drug coverage will result in your being switched back to Original Medicare.

It’s important to note that Medicare Advantage plans are incompatible with Medigap (Medicare Supplement Insurance) plans, which are designed to cover Original Medicare’s out-of-pocket costs and cannot be used to cover Medicare Advantage plan costs.

For those interested in exploring Medicare Advantage plans and finding one that fits their needs, we’re here to assist. Contact us today for more information and guidance.