Medicare Advantage Plans provide your Medicare health coverage and usually Medicare drug coverage. They aren’t supplemental insurance.
Not all Medicare Advantage Plans work the same way, so find out the plan’s rules before joining. In all plan types, you are always covered for emergency and urgent care.
Medicare Advantage Plans include the following:
Preferred Provider Organization (PPO) Plans.
Health Maintenance Organization (HMO) Plans.
Private Fee-for-Service (PFFS) Plans.
Medical Savings Account (MSA) Plans.
Special Needs Plans (SNP).
Call us for detailed explanations of these plans.
Medicare Advantage Plans provide all of your Part A (Hospital Insurance) and Part B (Medical Insurance) coverage. This means they must cover at least all of the services that Original Medicare covers. However, each Medicare Advantage Plan can charge different out of pocket costs. These are usually copayments but can also be coinsurance and deductibles.
Medicare Advantage Plans may offer Medicare prescription drug coverage. Some Medicare Advantage Plans have provider networks. In some cases this means you can only see doctors who belong to the plan or go to certain hospitals to get covered services (other than for emergency or urgently needed care or medically-necessary dialysis). You should check with your doctors or hospital to find out if they accept the plan.
Who Can Join?
You can generally join a Medicare Advantage Plan if you meet these conditions:
- You have Part A and Part B.
- You live in the service area of the plan. You don’t have End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant).
Note: In most cases, you can join a Medicare Advantage Plan only at certain times during the year.
Click here for a list of things to consider when chosing or changing your coverage.
For more information on Advantage Plans, go to page 50 of Medicare and You.
Each year you should review your health and prescription needs because your health, finances, or coverage may have changed. Request more information now or call us to review your Medicare needs.
Learn more about: