972-BENEFIT

972-236-3348

Schedule A Consultation

Contact Us Today

A Quick Guide to
Medicare Part C

Medicare Advantage Plans (like HMOs and PPOs) are sometimes referred to as Medicare Part C. They are private Medicare approved health plans for those individuals eligible for Medicare. When you join a Medicare Advantage Plan, you are still in Medicare.

Speak with a licensed Medicare professional today.

Medicare Advantage Plans provide all of your Part A (Hospital Insurance) and Part B (Medical Insurance) coverage and must cover medically necessary services. They generally offer additional benefits, and many include Part D prescription drug coverage. These plans often have networks, which means you may have to see the plan’s doctors and go to certain hospitals to get care.

 

Medicare Advantage Plans can save you money, since out-of-pocket costs in these plans are generally lower than with Original Medicare alone. However, your cost will vary by the services you use and the type of policy you purchase. Each Medicare Advantage Plan can charge different out of pocket costs and have different rules for how you get services (like whether you need a referral to see a specialist or if you have to go to only doctors, facilities, or suppliers that belong to the plan).

Plan Options Can Include

  • Preferred Provider Organization (PPO)
  • Health Maintenance Organization (HMO)
  • Private Fee-For-Service (PFFS)
  • Special Needs Plans (SNP)
  • Medical Savings Account (MSA)

You Can Generally Join If:

  • You live in the service area of the plan you want to join
  • You have Medicare Part A and Part B coverage
  • You don’t have End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant)

Changes you can make:

 

If you are enrolled in Medicare Advantage, you take advantage of two Medicare enrollment periods: Medicare Advantage Open Enrollment (January 1 – March 31) and the Annual Enrollment Period (October 15 – December 7).

 

During the Medicare Advantage Open Enrollment Period, you can:

  • Go back to Original Medicare and join a Part D prescription drug plan (if needed)
  • Switch to another Medicare Advantage plan (with or without drug coverage)

 

During the Annual Enrollment Period, you can:

  • Drop Medicare Advantage and go back to Original Medicare (or vice versa)
  • Switch to another Medicare Advantage plan (with or without drug coverage)
  • Join, switch, or drop a Part D prescription drug plan

Still have questions, or need more information on how to pick the plan that is right for you?

The Benefit Link is here to help! Give us a call and speak to a licensed insurance agent:

Schedule A Consultation

It can be difficult to know whether or not you have proper coverage, but we can help!

 

Any questions? Feel free to give us a call.

972-BENEFIT

972-236-3348​

TCPA Consent & Privacy

The Benefit Link, a Licensed Insurance Agency with its physical office in Texas, employs insurance agents (producers), and through such agents, can provide these services to clients in all 50 States of the USA. By clicking on a form, you authorize The Benefit Link to call you and send pre-recorded messages, text messages, and in-app Facebook messages to you about The Benefit Link products and services at the telephone number you have on file with Facebook, or any other telephone number or contact information that you provide to The Benefit Link, including your mobile phone if provided, using an automated dialer and email, even you are on the national or state “Do not Call” list. You understand that your consent is not a requirement to purchase products and services from The Benefit Link. Message and data rates may apply, and you can opt-out anytime.