Medicare Advantage plans
Medicare Advantage plans are plans offered by private companies that contract with Medicare to provide all of your Medicare Part A and Part B benefits. In most cases, Medicare advantage arizona plans also offer Medicare prescription drug coverage. There are various types of Medicare Advantage plans, including HMO, PPO, cost-based, HCPP, Medicare Medical Savings Account and private fee-for-service plans. If your plan is considered out of network, your out-of-pocket expenses will be higher. As a general rule, Medicare Advantage plans should process the same as Medicare
Medicare Advantage Plans (Part C).
3 things to know about Medicare Advantage plans:.
- They are also known as Medicare Part C.
- They are an alternative way to get Medicare coverage through private insurance companies instead of the federal government.
- They provide the same benefits as Original Medicare and may include additional benefits such as dental, vision, drug, and wellness program coverage.
More info: What does Medicare Part C cover?
Enrolling in a plan.
Medicare requires that you enroll in, disenroll from, or make changes to your Medicare Advantage plan only during pre-determined enrollment periods.
If you are enrolling for the first time, you may be able to join a plan during your Initial Enrollment Period, which occurs around your 65th birthday, or around your 24th month of disability (if you’re under 65 and eligible for Medicare).
You also may be able to join or switch plans during the annual Medicare Open Enrollment Period, which runs from October to December every year.
There are also Special Enrollment Periods that may let you join a plan outside of the main enrollment periods, depending on your circumstances.
Medicare Advantage plans (Medicare Part C) are a form of private health insurance that provide the same coverage as Medicare Part A and Part B (Original Medicare) and may include additional benefits such as dental, vision, and prescription drug coverage.
Medicare Advantage plans are widely used in the United States. As of 2019, more than 20 million people are enrolled in Medicare Advantage plans,
You enroll in a Medicare Advantage plan through a private insurance company, not the government.
You must be enrolled in Original Medicare before you can enroll in a Medicare Advantage plan.
There are 3 general eligibility requirements to qualify for Medicare Part C:.You must be enrolled in Original Medicare (Part A and Part B).There must be a Medicare Advantage plan offered in your area.
You do not have End Stage Renal Disease (ESRD).
You can not have a Medicare Advantage plan and a Medicare Supplement insurance policy at the same time.
More info: Medicare Advantage eligibility.
All Medicare Advantage plans include the same standard benefits as Original Medicare. Some Medicare Advantage plans also provide extra benefits such as prescription drug, dental, and vision coverage. Additional benefits vary from plan to plan.
Some types of plans restrict your coverage to in-network health care providers.