Medicare Advantage Plans

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Get Answers About The Medicare Advantage Plans Available To You.

Medicare Advantage Plans provide all of your Part A and Part B benefits, excluding clinical trials, hospice services, and, for a temporary time, some new benefits that come from legislation or national coverage determinations.
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The Basics Of Medicare Advantage Plans

A Medicare Advantage Plan is another way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare. Most Medicare Advantage Plans include drug coverage (Part D). In most cases, you’ll need to use health care providers who participate in the plan’s network. These plans set a limit on what you’ll have to pay out-of-pocket each year for covered services. Some plans offer non-emergency coverage out of network, but typically at a higher cost.

What are the different types of Medicare Advantage Plans?

  • Health Maintenance Organization (HMO) Plan
  • HMO Point-of-Service (HMOPOS) Plan: This HMO plan may allow you to get some services out of network for a higher copayment or coinsurance.
  • Medical Savings Account (MSA) Plans
  • Preferred Provider Organization (PPO) Plan
  • Private Fee-for-Service (PFFS) Plan
  • Special Needs Plan (SNP)

 

What do Medicare Advantage Plans cover?

Medicare Advantage Plans provide all of your Part A and Part B benefits, excluding clinical trials, hospice services, and, for a temporary time, some new benefits that come from legislation or national coverage determinations. Plans must cover all emergency and urgent care, and almost all medically necessary services Original Medicare covers. If you’re in a Medicare Advantage Plan, Original Medicare will still help cover the cost for hospice care, some new Medicare benefits, and some costs for clinical
research studies.

Want to find out more about the Medicare Advantage Plans available to you? Call or use our online contact form to request an in-home appointment to get your questions answered.