The Specifics of Medicare Part “C” or Other Wise Know As Medicare Advantage
As you know by now that Medicare Part C, also called Medicare Advantage, is an additional insurance option for people with Original Medicare.
You also know by now that original Medicare covers Part A (hospital) and Part B (medical).
Medicare Part C is required by the Center for Medicare and Medicaid to offerscoverage for parts A and B plus additional services, such as prescription drugs, dental, vision, gym membership and more.
Medicare is additional Medicare coverage offered through private insurance companies. With this plan, you can get coverage for prescription drugs, dental and vision services, and other health-related services.
WHAT DOES MEDICARE PART “C”COVER
With the right Medicare Part C benefits, you will have coverage for the following:
• hospital services, nursing facility care, home health care, and hospice care
• medical services related to the prevention, diagnosis, and treatment of conditions
• mental health services
• prescription drug coverage
• dental, vision, and hearing services
• optional health services, such as fitness memberships
If you need more than simply basic hospital and medical insurance, Medicare Part C is an essential coverage option.
WHO QUALIFIES FOR MEDICARE PART “C”
If you already have Medicare parts A and B, and if you live in the service area of the Medicare Part “C” You will most likely qualify for a Medicare Part “C” or a Medicare Advantage plan.
In 2021, people with end stage renal disease are eligible to enroll in a broader range of Medicare Advantage plans due to a law passed by Congress.
WHAT YOU NEED TO KNOW ABOUT ENROLLING IN MEDICARE
Enrolling into Medicare is time-sensitive and should be started roughly 3 months before you turn age 65. You can also apply for Medicare on the month you turn 65 and the 3 months following your 65th birthday — although your coverage will be delayed.
• If you miss the initial enrollment period, open enrollment runs from October 15 through December 7 every year.
• You can sign up for original Medicare online through the Social Security Administration websiteand shop for Medicare Part C plans online through Medicare’s plan finder tool.
What Medicare Part “C” plans are available for you
The easiest way to find out what Medicare Part C plans are available go to www.yourmedicarecoverage.net
The system will take your answers to certain questions and narrow down the companies that offer Medicare Part C plans that fit your needs. This Medicare tool is helpful for comparing the plans in your area.
If you already receive coverage through a major insurance company, it may offer Medicare Part C plans. Some of the major insurance companies that offer Medicare Part C are:
United Health Care
Brand New Day
What is Medicare Advantage HMO plans
Health Maintenance Organization (HMO) plans are a very well know choice for those who want additional coverage not offered by original Medicare. In a Medicare Advantage HMO plan, you can receive care from your plan’s in-network health care providers,these plans require the patient to get a referral to see a specialist and the combination of your primary care physician and your specialist help you manage your health care.
There are many options for Medicare Advantage HMO plans in each state, including plans with $0 premiums, no deductibles, and low copayments. To enroll in a Medicare Advantage HMO plan, you must already be enrolled in original Medicare.
Medicare Advantage PPO plans
Preferred Provider Organizations (PPOs) are the most popular healthcare plan choice for additional coverage. This type of plan allows a greater level of freedom for buyers.
With a PPO plan, you can go to your preferred doctors, specialists, and healthcare facilities, whether or not they are in your plan’s network. However, PPO plans do charge different rates based on a list of in-network or out-of-network providers.
PPOs are also convenient because you don’t need a referral to see a specialist.
How much does Medicare Part C cost?
There are a variety of costs associated with a Medicare Part C plan, which means your out-of-pocket costs may vary.
Some Medicare Part C plans will cover a portion of your Part B monthly premium. However, some of these plans also have their own premium and deductible.
In addition to these costs, you may also owe a copayment at the time of receiving services.
THINGS TO CONSIDER DETERMINING YOUR COST
Other factors that contribute to how much a Medicare Part C plan will cost you include:
• the type of plan you choose, such as an HMO, PPO, PFFS, SNP, or MSA
• your income, which can be used to determine your premium or deductible amount
• your percentage of costs
• how often you need medical services
• whether you receive medical services in network or out of network
• whether you receive other financial assistance, such as Medicaid
There are many advantages of having Medicare Part C, including a yearly cap on how much you’ll pay out of pocket. Still, those initial costs can add up over time before you hit that cap, so it’s important to consider all the factors when choosing your Medicare Part C plan.
If you don’t need Medicare Part C
If you’re happy with your current Medicare coverage and are only interested in receiving prescription drug coverage, a stand-alone Medicare Part D plan may be the best option.
If you have Medicare coverage but only need additional help with costs, a Medicare supplemental insurance (Medigap) policy might work for you.
For some people, Medicare Part C is an additional cost that they just can’t afford — in this case, shopping around for Part D and Medigap coverage may help save money.
IF YOU NEED HELP ENROLLING PLEASE DO NOT HESITATE TO CONTACT US AT 1-800-381-3623 OR EMAIL ROLANDO@YOURMEDICARECOVERAGE.NET
FINDING A MEDICARE PLAN CAN BE COMPLEX CONVOLUTED AND CONFUSING AT YOURMEDICARE WE PRIDE OURSELVES IN MAKING SURE WE FIND A MEDICARE PLAN THAT SPECIFICALLY MEETS YOUR NEED AND MAKE THE PROCESS CLEAR, SIMPLE AND UNDERSTANDABLE PLEASE CALL US AT 1-800-381-3623 OR EMAIL US AT ROLANDO@YOURMEDICARECOVERAGE.NET
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