Medicare Advantage Plans

What is a Medicare Advantage Plan?

A Medicare Advantage Plan is a Medicare plan offered by a private company that contracts with Medicare to provide your Part A and Part B benefits.

Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans.

Medicare services are covered by Medicare Advantage plans and aren’t paid for under Original Medicare.

Most Medicare Advantage Plans also offer prescription drug coverage.

What do Medicare Advantage Plans cover?

Medicare Advantage Plans must cover all of the services that Original Medicare covers except hospice care. Original Medicare covers hospice care even if you’re in a Medicare Advantage Plan. In all types of Medicare Advantage Plans, you’re always covered for emergency and urgently needed care.

Medicare Advantage Plans may offer extra coverage, like vision, hearing, dental, and/or health and wellness programs. Most include Medicare prescription drug coverage (Part D). In addition to your Part B premium, you usually pay a monthly premium for the Medicare Advantage Plan.

You can also ask the plan for a written advance coverage decision to make sure a service is medically necessary and will be covered. If you’re not sure the plan will pay for a particular service, ask for an advance coverage decision to avoid paying all of the costs.

If you’re nearing 65, you are probably wondering about your health care coverage options. If you have  a family member or friend who is turning 65 or older, they may ask you for help regarding their Medicare health insurance coverage.

Please keep in mind we do not charge for our services. When choosing a plan, your payment goes directly to the carrier. Per CMS guidelines, we can not discuss details or benefits of any Medicare Advantage plan without a signed  Scope of Appointment.