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Medicare Advantage Plans

Medicare Advantage Plans, sometimes called Part C, are health plan options that are part of the Medicare program. If you join one of these plans, you generally get all your Medicare-covered health care through the Medicare Advantage Plan. This coverage can include prescription drug coverage. Medicare Advantage Plans include:

 

  • Medicare Health Maintenance Organization (HMOs)
  • Preferred Provider Organizations (PPO)
  • Private Fee-for-Service Plans (PFFS)
  • Medicare Special Needs Plans ( D-SNP Medicare + MediCaid)(Chronic Condition C-SNP)

When you join a Medicare Advantage Plan, you use the health insurance card that you get from the plan for your health care. In most of these plans, there generally are extra benefits and lower co-payments than in the Original Medicare Plan. Most Medicare Advantage Plans are managed care plans, usually a health maintenance organization (HMO) or a preferred provider organization (PPO) and you may have to see doctors that belong to the plan or go to certain hospitals to get services. Be aware each plan has different networks (medical groups) the plan accepts.

To join a Medicare Advantage Plan, you must have Medicare Part A and Part B. You will have to pay your monthly Medicare Part B premium to Medicare. In addition, you may have to pay a monthly premium to your Medicare Advantage Plan for the extra benefits that they offer. In 2023, the standard Part B premium amount is $164.90 (or higher depending on your income). However, some people who get Social Security benefits pay less than this amount depending on income and some people will pay more.

When can I enroll?

 

Keep in mind that Medicare limits when you can join, switch, or drop a Medicare Advantage Plan. You can join a plan when you first become eligible for Medicare. This is anytime beginning three months before the month you turn 65 and ends three months after the month you turned 65.

 

  • For example, if you turn 65 on May 5, your eligibility period starts on February 1 and ends on August 31.
  • If you are disabled and have Social Security Disability Insurance, you can join an advantage plan three months before to three months after month 25 of your disability.
  • Medicare Advantage, Medicare Supplement and Prescription drug- you can switch your plan every year during an enrollment period between October 15 and December 7 of each year. (AEP Annual Enrollment Period)
  • When you retire you have an SEP Special Enrollment Period for 8 months to enroll in any Medicare program.

This information obtained from www.medicare.gov

 

By contacting the phone number on this website you will be directed to a licensed agent.

Medicare Options
  • Medicare Plan Information
  • Medicare: What you need to know
  • Medicare Advantage Plans
  • What is Medicare Supplement (Medigap) Insurance?
  • Compare Medicare supplement and Medicare Advantage
  • Part D Prescription Drug Plans
  • Are You Eligible for Medicare?
  • Different Types of Medicare Advantage Plans
  • Compare Medicare Supplement plans side by side

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. Networks (Medical Groups) and Medications vary by plan please verify this information with your AGENT before choosing a plan.

Starting October 1, 2022 CMS requires all Medicare Clients or Prospect calls to be recorded and saved for 10 years.

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