Medicare Advantage plans, also known as Part C, are private health insurance plans that offer all the benefits of Original Medicare (Part A and Part B) and often include additional benefits like dental, vision, and prescription drug coverage.

How do Medicare Advantage plans work?

When you enroll in a Medicare Advantage plan, you are still in the Medicare program, but you receive your benefits through the private insurance company instead of directly from the government. This means that the plan will determine your premiums, copays, and deductibles, and they may have different rules about where you can go for care.

What are the different types of Medicare Advantage plans?

There are several different types of Medicare Advantage plans, including:

• Health Maintenance Organizations (HMOs): HMOs typically have a network of doctors and hospitals that you must use for your care. You may need to get a referral from your primary care doctor to see a specialist.
• Preferred Provider Organizations (PPOs): PPOs give you more flexibility to see doctors and hospitals outside of the plan’s network, but you may pay more for out-of-network care.
• Special Needs Plans (SNPs): SNPs are designed for people with specific health conditions, such as chronic diseases or disabilities. They may offer specialized benefits and services that are not available in other Medicare Advantage plans.
• Private Fee-for-Service (PFFS) plans: PFFS plans are similar to Original Medicare in that you can generally go to any doctor or hospital that accepts the plan. However, PFFS plans may have different rules about how much you pay for care.
• Medical Savings Account (MSA) plans: MSA plans combine a high-deductible health plan with a bank savings account. You can use the money in your savings account to pay for your health care expenses, including copays, deductibles, and coinsurance.

How do I choose a Medicare Advantage plan?

There are many factors to consider when choosing a Medicare Advantage plan, such as your health needs, your budget, and your preferred way of getting care. Here are a few things to keep in mind:

• Compare plans: Compare plans in your area to see what benefits they offer and how much they cost.
• Read the fine print: Be sure to read the plan’s contract carefully to understand all of the terms and conditions.
• Ask questions: If you have any questions about a plan, don’t hesitate to contact the plan directly or ask a Medicare-approved insurance agent for help.

How do I enroll in a Medicare Advantage plan?

You can enroll in a Medicare Advantage plan during the following times:

• When you first become eligible for Medicare
• During the Annual Election Period (October 15-December 7)
• During a Special Election Period (if you lose coverage or other qualifying events)

To enroll, you can contact a Medicare Advantage plan directly or call Medicare at 1-800-MEDICARE (1-800-633-4227).

Remember, Medicare Advantage plans can change from year to year. It’s important to review your plan every year to make sure it still meets your needs.