MEDICARE ADVANTAGE PLANS (PART C) COVERAGE
Your Solution to Benefits that go beyond Original Medicare
Medicare Advantage, also known as Part C or MA plans, provides all the same benefits as Basic Medicare and more. These plans frequently include prescription drug benefits, eliminating the need to purchase a separate Prescription Drug Plan (Part D). Even better, in certain geographical areas, these comprehensive healthcare plans are available without a premium. (However, you do continue to pay Part A and Part B premiums. )
In contrast to Medicare Supplement plans, Medicare Advantage plans are managed care plans like HMOs. A medical group of primary care and specialty physicians provide care, along with related acute care hospital coverage.
How Medicare Advantage Plans Work
You can think of a Medicare Advantage plan as an “in all in one” alternative to Medicare. Medicare Advantage plans are offered through private insurance companies approved by Medicare. If you enroll in a Medicare Advantage plan you still have Medicare. Once enrolled in a MA plan, Medicare pays the plan a monthly fee to provide your Original Medicare benefits and assume your medical risk. This is how Medicare Advantage plans are funded. Medicare Advantage plans offer all of the benefits of Part A and Part B, plus more.
Medicare Advantage Coverage
In addition to coordinated care, Medicare Advantage plans deliver a wide array of benefits that go beyond Basic Medicare or Supplement plans. These added benefits can include:
- Personal Emergency Response Systems
- In-Home Meal Delivery
- Hearing Aids
- Gym Membership
- RN Hotline
- Over The Counter Medicine
- Home Care
With Medicare Advantage you can minimize your out-of-pocket expenses and avoid the costs that come with Basic Medicare or Medicare Supplement coverage.
Medicare Advantage Eligibility & Enrollment Periods
Medicare Advantage plans are available to all beneficiaries as long as they are enrolled in Original Medicare and live within the desired MA plan service area. Enrollment is available during two specific periods:
Initial Enrollment Period (IEP): The initial enrollment period is your first opportunity to enroll in a Medicare Advantage plan.
Annual Enrollment Period (AEP): AEP runs annually from Oct. 15th – Dec. 7th. During this time you can enroll in, change, or drop a Medicare Advantage plan.
Why Some Individuals Choose Medicare Advantage Plans
- Many plans have low monthly premiums (Part B premiums still apply)
- Convenience of having prescription drug coverage included
- More comprehensive coverage with some plans including hearing, vision, and dental
- Maximum out of pocket: once the limit is reached your medical expenses will be covered in full.
- Emergency/Urgent Care: some plans will cover you nationwide
What Medicare Advantage Plan is Best?
When it comes to choosing a Medicare Advantage plan, choosing the best one depends entirely on you and your health needs. There is no right or wrong choice and each person’s “best” plan will be different from the next due to their unique priorities. For that reason, we’re partnered with over 20 Medicare Advantage carriers in order to bring you options that will fit your needs including:
- Anthem Medicare Advantage
- United Healthcare (UHC) Medicare Advantage
- Aetna Medicare Advantage
- Humana Medicare Advantage
- And many more.
We Help you Find the Coverage that is Right for You
With a variety of Medicare Advantage plans available, finding the right one for your healthcare needs can be tricky. Each Medicare Advantage plan differs on coverage, cost, benefits, doctor networks, and hospitals which is why we compare many plans to find the best one that meets your needs.
At Griset Medicare Solutions, we do just that. Our top priority is to get to know you and your specific health and financial needs. Once we’ve got your top priorities in mind, we shop various plans available in your area. We review those plans together and make sure all your needs are met. With over 40 years of client-centered insurance services, our commitment is to provide you Medicare insurance options that are tailored exactly for you.