Medicare Advantage plans are also known as Medicare Part C. They’re a part of Medicare but provided by Medicare-approved private insurance companies. Medicare Advantage plans offer the same coverage as Original Medicare and offer other benefits not included in Original Medicare, such as prescription drug coverage, routine dental, vision, and hearing coverage. 

There are different types of Medicare Advantage plans to consider, such as HMOs, PPOs, PFFS, MSAs, and SNPs. With these several different options available, it can be challenging to determine what plan would be more beneficial for your needs.

Before you make a final decision, though, it’s important that you stay educated and informed on the different parts of Medicare, like Medicare Advantage. 

Should You Choose a Part C Plan?

After enrolling in Original Medicare, you have the option of enrolling in additional Medicare coverage such as Part C, Part D, or Medigap. Medicare Advantage covers the same services as Original Medicare but also includes extra services such as hearing, vision, or dental care, which aren’t covered under Original Medicare or Medigap. Other benefits include:

• Fitness memberships
• Wellness programs
• Nutrition programs
• Adult daycare services
• Transportation for doctor visits
• Services for individuals with chronic conditions

Also, Medicare Advantage plans can cost less in some cases. There are many Part C plans with low premiums and maximum out-of-pocket limits. However, the cost of Part C plans varies by provider, location, and type of coverage. Before you decide to enroll in Medicare Advantage, you should first determine if you’ll get more value from it than Original Medicare. For example, if you want a limit on your out-of-pocket expenses, then Part C is a good option. Medicare Part A and Part B don’t have an out-of-pocket maximum. 

What Else Should Beneficiaries Know?

There are some Medicare Advantage limitations you should know about. First, your costs may increase if you go out-of-network under some Part C plans. For example, if you are enrolled in an HMO plan and you go out of network to receive care or treatment, you may have to cover the full cost of your medical expenses. Also, some Part C plans require referrals for specialist visits. With Original Medicare, you can visit any healthcare provider who accepts Medicare and won’t be limited to a network or a specific primary care provider.

You must also be enrolled in Original Medicare before you can enroll in a Medicare Advantage plan, as well as continue paying your Part B premiums once you’re enrolled in Medicare Advantage. Suppose you drop your Part B coverage and stop paying your Part B premiums. In that case, you’ll ultimately lose your Medicare Advantage plan.

If you’re interested in enrolling or becoming eligible for a Part C plan, give us a call today at (775) 328-1197.