What is Medicare Advantage?

Medicare Advantage (also known as Part C) is an alternative way to receive your Medicare benefits. Instead of getting your benefits through Original Medicare (Parts A and B), you can choose a Medicare Advantage plan offered by private insurance companies approved by Medicare.

Key Features of Medicare Advantage

1. All-In-One Coverage

  • Combines Part A (hospital insurance) and Part B (medical insurance).

  • Often includes additional benefits like prescription drug coverage (Part D), dental, vision, and hearing.

2. Cost Structure

  • Typically have lower out-of-pocket costs compared to Original Medicare.

  • May require you to use a network of doctors and hospitals.

  • Usually a significantly lower monthly premium than Medicare with a supplement and prescription plan

3. Additional Benefits

  • Many plans offer extra services like fitness programs, over-the-counter drug allowances, and wellness programs.

How Medicare Advantage Works

Enrollment: You must first be enrolled in Original Medicare (Parts A and B) before you can switch to a Medicare Advantage plan.

Plan Types:


Health Maintenance Organization (HMO): Requires you to use doctors and hospitals within the plan’s network.

Preferred Provider Organization (PPO): Offers more flexibility in choosing healthcare providers.


Special Needs Plans (SNPs): Tailored for individuals with specific diseases or characteristics.

Costs:

  • You continue to pay your Part B premium, and some plans may charge an additional premium.

  • There may be plan available at a $0 monthly premium

Don't Risk Getting the Wrong Coverage

Work with the Gurus!

We understand the Medicare enrollment process can be difficult to understand. This is why we strive to educate and empower our clients to make the best decisions for their health insurance coverage.

Don't Make These Mistakes When You Enroll

Medicare can be a nightmare to understand. This book helps you avoid some common pitfalls when it comes to enrolling.

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