MEDICARE ADVANTAGE PLANS (Part C)

WHAT ARE MEDICARE ADVANTAGE PLANS (PART C)?

Medicare Advantage (MA) plans, also known as Medicare Part C, are an alternative to Original Medicare (Parts A and B) offered by private insurance companies approved by Medicare. These plans bundle hospital insurance (Part A), medical insurance (Part B), and may include additional benefits not covered by Original Medicare.
Medicare Advantage plans are NOT Medicare Supplement Plans (Medigap).
Medicare pays a private insurance company a fee every month for the company to administer your Part A & B benefits.
Most plans have deductibles, copays, and coinsurance up to the plan’s maximum out-of-pocket cost.
Advantage plans have specific provider networks. (i.e. HMO, PPO, PFFS, SNP, etc.)
You may pay higher costs if you visit a provider outside of the plan’s network or you may not even be covered at all.
Some Advantage plans require you to use a PCP to coordinate your benefits and may require referrals to see specialists.
Once you enroll in an Advantage Plan, you are required to stay with that plan for the year (i.e. Jan through Dec).
You can only make changes to your plan during AEP (Annual Enrollment Period) or OEP (Open Enrollment Period) unless you qualify for an SEP (Special Enrollment Period).
Call Medicare Sharks for more information about Medicare Advantage Plans (Part C) to see if a plan is right for you! We make our recommendations based on your individual needs. Call us to compare plans!

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WHEN CAN I CHANGE MY MEDICARE ADVANTAGE PLAN (PART C)?

In most cases, you must keep your Medicare Advantage Plan for the full year Jan-Dec. During the Annual Enrollment Period (AEP) (Oct 15 – Dec 7) you can make changes to your Medicare Advantage Plan and coverage will start Jan 1. There’s another opportunity to make changes to your Advantage Plan during the Medicare Advantage Open Enrollment Period (MA-OEP) (Jan 1 – Mar 31). However, you may be entitled to a Special Enrollment Period (SEP) where you can change your plan mid-year depending on your circumstance.
Call Medicare Sharks to learn about your enrollment options!

HOW DO I GET MEDICARE PART C?

Wondering how to apply for Medicare Part C? You can apply for Medicare Part C during your Initial Enrollment Period or Special Enrollment Period under specified conditions. For example, you can get the Medicare Part C when you relocate to another state, and as a result of that, you become eligible for different plans. If you are eligible for Medicaid, qualify to get extra help with drug costs, or want to switch to a holistic overall quality rating plan, then you can apply for Medicare Part C. Although Medicare C is not mandatory, it is a valuable option that you may want to consider when choosing coverage. Our licensed agents can provide you the information you’ll need to make an informed decision when choosing a Medicare Advantage Plan.

Call Medicare Sharks to discuss your options!

561-90-SHARK (561-907-4275)

MEDICARE ADVANTAGE PLANS (Part C)

WHAT ARE MEDICARE ADVANTAGE PLANS (PART C)?

WHEN CAN I CHANGE MY MEDICARE ADVANTAGE PLAN (PART C)?

HOW DO I GET MEDICARE PART C?