Medicare Part C

WHAT IS MEDICARE ADVANTAGE?

Medicare Part C, or Medicare Advantage, is a popular alternative to Original Medicare. Offered by approved private insurers, these plans often include additional benefits and wellness coverage.

OUR MEDICARE ADVANTAGE CARRIERS


Medicare Part C, commonly called Medicare Advantage, is a comprehensive alternative to Original Medicare offered by private insurance companies.

Medicare Advantage has become a popular choice among Medicare beneficiaries in recent years. In 2017, one-third of those covered by Medicare were Medicare Advantage members, and that number’s predicted to grow to roughly 41 percent by 2026.

What Do Medicare Advantage Plans Cover?


What sets Medicare Advantage apart is the additional benefits, including drug, dental, and vision services and membership in wellness and health management programs.


As an alternative to Original Medicare, Medicare Advantage plans must cover all Part A and B services. This means the plan aids in paying for hospital stays and most medical services (excluding hospice care). What sets Medicare Advantage apart is the additional benefits, which can include dental and vision services as well as membership in wellness and health management programs.

Many Medicare Advantage plans also include qualified prescription drug coverage, so you don’t need to purchase a stand-alone Part D drug plan. These plans are marketed as Medicare Advantage Prescription Drug, or MAPD, plans.

What Do These Plans Cost?

Since you’re still enrolled in Medicare, you will still pay any required monthly premiums for Parts A and B. Beyond this, a Medicare Advantage plan’s cost depends on several factors. These factors can be:

  • Monthly premiums included in the plan

  • Yearly deductibles

  • Copayments or coinsurances included in the plan

A brief outline of Medicare Advantage plan costs is available on Medicare.gov.

What Do I Need to Do to Get a Plan?

To join a Medicare Advantage plan, you must tick a few boxes. First, you must be enrolled in Original Medicare. Next, you must live within that plan’s service area.

Finally, you cannot have End-Stage Renal Disease (ESRD). This is the only pre-existing condition that can disqualify you from Part C coverage. For those with ESRD, Original Medicare covers the treatment.

Is There Anything Else We Should Know?

Each year, you have two opportunities to make changes to your Medicare Advantage plan. The primary season is the Annual Enrollment Period, which runs from October 15 to December 7. During this period, you can:

  • Switch from Original Medicare to a Medicare Advantage plan

    OR

  • Switch from a Medicare Advantage plan to Original Medicare

    OR

  • Switch from one Medicare Advantage plan to another


The Medicare Advantage Open Enrollment Period runs from January 1 to March 31, allowing plan holders to make a one-time switch to a different Medicare Advantage plan or return to Original Medicare.


The second time to make a change in your coverage is during the Medicare Advantage Open Enrollment Period. This window runs from January 1 to March 31 and allows Medicare Advantage plan holders to make a one-time switch to a different Medicare Advantage plan or return to Original Medicare. If you return to Original Medicare, you can purchase a Medicare Supplement and stand-alone prescription drug plan.

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If a Medicare Advantage or Medicare Supplement plan are coverage options that interest you, check out the Medicareful Plan Finder.


THE PROCESS TO BUY

Whether you already have a Medicare Policy and are shopping around during Annual Enrollment or are just aging into the system and are tired of being bombarded with mailers, we have the expertise and tools to make the buying process easy and educating.


MEDICAREFUL COMPARISON TOOL

Want more information on the plans we offer, but like to do your own research first? Check out our Medicareful comparison tool where you can do side-by-side comparisons of some of the more popular plans in the area. Though we always suggest speaking with an agent first to make sure all of your needs are covered, we are happy to provide this tool at no charge. Please note it does not take into account any medications you are currently taking so ensure the plan you pick covers these as you like.

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CONTACT US

Medicare is a difficult land to navigate. As such, we always suggest that our clients shop around every year and speak directly to an agent who can help them decide which plans are right for them. While basic benefits (Co-Pays, Out-of-Pocket Max, etc.) are important, we always suggest that the two major factors when buying a plan are whether their Doctors are in-network and whether their medications are covered. It’s our job to help you figure this out so please contact us today!

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