Medicare Part C (Medicare Advantage Plans)

What is Medicare Part C:

Medicare Part C is not a separate benefit. Part C is the part of Medicare policy that allows Private Health Insurance Companies to provide Medicare benefits. These Medicare private health plans, such as HMOs and PPOs, are known as Medicare Advantage Plans. If you want, you can choose to get your Medicare coverage through a Medicare Advantage Plan instead of through Original Medicare.

What’s covered in general under Part C:

Medicare Advantage Plans must offer at least the same benefits as Original Medicare (those covered under Parts A and B) but can do so with different rules, costs, and coverage restrictions. You also typically get Part D (Prescription Drugs) as part of your Medicare Advantage benefits package. Many different kinds of Medicare Advantage Plans are available. You may pay a monthly premium for this coverage, in addition to your Part B premium.

Who is eligible for Part C:

  • Those who have Medicare Part A and Part B
  • Those who live in the service area of the plan. The plan can give you more information about its service area. If you live in another state for part of the year, check to see if the plan will cover you there
  • Those who don’t have End-Stage Renal Disease (ESRD)

How much does Part C cost:

  • Monthly Premium: The Part C monthly premium varies by plan. To compare costs for specific Part C plans, please consult one of our advisors.
  • Part C Deductible & Coinsurance: The amount you pay for Part C deductibles, copayments, and/or coinsurance varies by plan. To compare costs for specific Part C plans, please consult one of our advisors.

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