Medicare Advantage

What is a Medicare Advantage Plan?

A Medicare Advantage Plan (also called Medicare Part C) is an alternative way to receive your Medicare benefits through a private insurance company approved by Medicare.

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Think of it this way:

Original Medicare is provided directly by the federal government.

Medicare Advantage is provided by a private insurance company that manages your Medicare benefits and often includes extra benefits not covered by Original Medicare.

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How It Works

When you enroll in a Medicare Advantage Plan:

• You still have Medicare

• The plan covers everything that Original Medicare (Part A and Part B) covers.

• Many plans include prescription drug coverage (Part D).

 

Many plans offer extra benefits such as:

• Dental coverage

• Vision exams and eyewear

• Hearing aids

• Fitness memberships (like gym programs)

• Over-the-counter allowances

• Transportation assistance

• Telehealth services

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What You Pay

Most people continue paying their Medicare Part B premium.

Depending on the plan, you may have:

• A $0 monthly plan premium

• Copays when you visit doctors or specialists

• An annual maximum out-of-pocket limit that helps protect you from very high medical expenses

Example:

Mary turns 65 and enrolls in a Medicare Advantage Plan.  Instead of carrying:

• Medicare Part A

• Medicare Part B

• A separate drug plan

​She chooses one Medicare Advantage Plan that combines:

• Hospital coverage

• Medical coverage

• Prescription drugs

• Dental

• Vision

• Hearing

 

All in one plan.

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