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What Are Medicare Part C Plans?

Medicare Advantage plans (also known as Part C, Medicare private health plans, or MA plans) are supplied by private insurers and are legally required to carry all of the benefits as Medicare except hospice. Often, these plans offer more than Original Medicare like vision, prescription coverage, and dental. However, they can deem certain services unnecessary, in which case, the policy holder will have to cover costs.

 

Learn more about Medicare Advantage Plans


What Different Types of Medicare Advantage Plans are there?

Different types of Medicare Advantage Plans

  • Health Maintenance Organization (HMO) Plans
  • Preferred Provider Organization (PPO) Plans
  • Private Fee-for-Service (PFFS) Plans
  • Special Needs Plans (SNPs)

There are other less common types of Medicare Advantage Plans that may be available:>


HMO Point of Service (HMOPOS) Plans: An HMO Plan that may allow you to get some services out-of-network for a higher cost. Medical Savings Account (MSA) Plans: A plan that combines a high deductible health plan with a bank account. Medicare deposits money into the account (usually less than the deductible). You can use the money to pay for your health care services during the year.

How Do I Join a Medicare Advantage Plan?

Not all Medicare Advantage Plans work the same way, so before you join, take the time to find and compare Medicare health plans in your area.

Once you understand the plan’s rules and costs, here’s how to join:

  • Use Senior Medicare Help’s Partners
  • Submit a Quote Online
  • Fill out a paper enrollment form. Contact us to get an enrollment form, fill it out, and return it to the plan. All plans must offer this option.
  • Call us and let us know the plan you want to join. Call (855) 590-2076.

When you join a Medicare Advantage Plan, you’ll have to give your Medicare number and the date your Part A and/or Part B coverage started. This information is on your Medicare card.

Who Can Join a Medicare Advantage Plan?

You can generally join a Medicare Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Private Fee-for-Service (PFFS), or Medicare Medical Savings Account (MSA) Plan if you meet all of the following conditions:

  • You live in the service area of the plan you want to join. 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.
  • You have Medicare Part A and Part B.
  • You don’t have End-Stage Renal Disease (ESRD).

When Can I Join, Switch, or Drop a Medicare Advantage Plan?

When you decide how to get your Medicare coverage, you might choose a Medicare Advantage Plan (Part C) and/or Medicare prescription drug coverage (Part D).

There are specific times when you can sign up for these plans, or make changes to coverage you already have. You don’t need to sign up for Medicare each year. However, each year you’ll have a chance to review your coverage and change plans.


This Year Open Enrollment is between October 15th, 2015 Thru December 7th, 2015



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