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Medicare Advantage - Part C

Medicare Advantage - Part C, is also commonly referred to as Medicare Complete. It combines the services covered under Original Medicare Part A and Part B into one plan.

Most plans usually include Prescription Drug Coverage - Part D, and often offer additional benefits not offered by Original Medicare, such as prescription drugs and much more. 

Many Medicare Advantage Plans (Part C) are Health Maintenance Organization (HMO) plans. Which means that you're required to get health care services through an "In-network" of doctors and hospitals. In addition, you are required to get a referral to see a service specialist, and often a small co-pay ($10) is charged. There are also Medicare Advantage PPO (Prefered Provider Organization) Plans available.

Eligibility:

You must be enrolled in Original Medicare Part A and Part B and continue paying your Part B premium. Each private Medicare Advantage Plan provider have its own requirements and qualifications. But the majority of plan providers require that you reside in the plan's service area. 

Having End-Stage Renal Disease can disqualify you for coverage with many private Medicare Advantage providers. It's important to discuss your health, medical and prescription drug concerns with a licensed and authorized plan provider professional.

Plan Benefits:

You could get more benefits than you’re getting from Original Medicare with a Medicare-Complete Plan. These plans combine your doctor, hospital and prescription drug coverage into one complete plan. Including (but not limited to):

 

  • Zero or Low Monthly Plan Premiums

  • Primary Care Provider

  • Preventative Services

  • Routine Physical Vision, Hearing, and Podiatry Care 

  • Dental Plans (Rider)

  • Home Health Care Services

  • Skilled Nursing Facility (SNF) coverage

  • Inpatient Hospital Care

  • Worldwide Urgent Care Benefit

  • Ambulance and Emergency Care

  • Fitness and Transportation Programs

  • Durable Medical Equipment - oxygen, wheelchairs

  • Annual Out-Of-Pocket Maximum