What are Medicare Advantage Plans?
Medicare Advantage Plans, also known as Medicare Part C, are plans provided by private insurance companies that are required to provide coverage at least as good as Original Medicare and frequently include additional benefits and coverage that Medicare does not.
Advantage Plans typically have no premium, or low premiums, but may have copays, coinsurance, and deductibles which means people with Medicare Advantage Plans will share in the cost of their medical expenses.
There are many pros and cons to Medicare Advantage Plans, such as:
Medicare Advantage Upside:
It’s convenient to have a single plan, and premium, for everything
Medicare Advantage Plans are required to cover everything traditional Medicare covers (hospital insurance and medical insurance) as well as emergency and urgent care
Most plans also include prescription drug coverage
Health and income status do not affect your eligibility
Many plans may include additional benefits that Medicare does not
Premiums are typically $0 to Low
Medicare Advantage Down Side:
Medicare Advantage Plans require the use of network health care providers
Plan benefits and premiums can change from year to year
The plan Maximum Out Of Pocket can change each year and historically, increases each year
On average people who have Medicare Advantage Plans pay for medical expenses than people with Medigap Plans pay in premiums
What Medicare Advantage Plans Can I Choose From?
See Which Plans Are In Your Area Today
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Plans are insured or covered by Medicare Advantage (HMO, PPO, and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. We do not offer every plan in your area. Please contact medicare.gov or 1-800-Medicare to get information on all your options.
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