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Medicare Advantage Plans

A Medicare Advantage Plan is an optional, additional plan that you may be able to add to your Medicare coverage. Medicare Advantage Plans are sometimes referred to as "Medicare Part C," and are provided by private insurance companies that are approved by Medicare.

Medicare Advantage Plans

A Medicare Advantage plan will provide all of the coverage for your Medicare Part A and B, which is hospital and medical insurance. In addition, most Advantage Plans cover Part D, which is prescription coverage, as well as Part C, which covers vision, dental and hearing.

Medicare Advantage Plans work by taking over medical coverage from Medicare. Medicare, in turn, pays Medicare Advantage providers a certain amount each month to fund coverage. Medicare Advantage providers must follow certain rules set by Medicare. Although they must follow certain rules, each Medicare Advantage provider can charge whatever amount they want for their coverage and can still apply their own rules and restrictions to those who they insure. These rules can change year-to-year depending on the decisions of the Advantage provider, conditional to the fact that they still subscribe to the rules set forth by Medicare.

Types of Medicare Advantage Plans

There are several types of Medicare Advantage Plans available and each one fits a different set of needs. Some of the most popular plans are:

  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)
  • Private Fee-for-Services (PFFS)
  • Special Needs Plans (SNP)

There are a few less common plans available as well. Check with a local provider to see if they have additional plans that may better suit your individual needs.

Cost of Medicare Advantage Plans

Medicare Advantage Plans are quite affordable. In addition to paying for your Part B premium, you are usually required to pay a monthly premium for the additional coverage's provided. Each provider of Medicare Advantage Plans is able to charge whatever they want for their coverage. Typically your individual charges depend on:

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  • Monthly premiums
  • If your plan covers Part B premiums
  • Types of services provided
  • If your plan has a yearly deductible
  • Whether you use in network providers or not
  • Plan's yearly out of pocket limit

Get a Medicare Advantage Plan

Because each Medicare Advantage Plan has different limitations on coverage, the best way to get a plan is to find a provider who is licensed and can explain the differences between the plans that they offer. Once you have learned a bit more about the various kinds of coverage provided, you can compare pricing and decide how much coverage you will need.

Taking time to discover how much coverage you will need will help you determine how much you will need to spend to purchase a Medicare Advantage Plan that is right for you. Medicare Advantage can be extremely beneficial and provide coverage for necessary and expensive procedures and treatment. Find out if a Medicare Advantage Plan would be beneficial to you.

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