Get the same coverage as Original Medicare plus additional benefits in one convenient plan. Medicare Advantage (Part C) plans combine the benefits of Medicare Part A and Part B. Most also offer extra benefits, like prescription drug coverage or dental care.
What do Medicare Advantage (Part C) plans cover?
- All benefits of Medicare Part A (except hospice care, which is still covered by Part A)
- All benefits of Medicare Part B
- Most offer prescription drug coverage
- Most offer extra benefits not covered by Medicare Part A and Part B, such as:
- Routine dental care
- Eye exams, eyeglasses and corrective lenses
- Hearing tests and hearing aids
- Wellness programs and fitness memberships
- Plan options with and without provider networks
- Limitations to yearly out-of-pocket costs for covered services
- Premiums to fit a variety of budgets
What types of Medicare Advantage (Part C) plans are there?
Coordinated Care Plans
Many Medicare Advantage plans are coordinated care plans. Each plan has its own network of doctors and hospitals to choose from. Plans may require members to choose a primary care provider from the network to manage their care. Or they may offer members the freedom to choose their own providers.
|Health Maintenance Organization (HMO) plans||
This type of coordinated care plan may be a good fit for you if you want coverage for network providers and a primary care provider to help coordinate your health needs.
|Point of Service (POS) plans||
If you want the benefits of an HMO plan with more flexibility to see providers outside the network, this type of coordinated care plan may be worth a look.
|Preferred Provider Organization (PPO) plans||
PPOs offer choice in providers and flexibility to see providers outside the plan’s network.
|Special Needs Plans (SNPs)||
Special Needs Plans (SNPs) are designed for people with special health care or financial needs. All Special Needs Plans include drug coverage. They may also include coordination of care, transportation to and from medical appointments, credits to buy everyday health items, and routine vision and dental coverage. There are four main types of Special Needs Plans:
Other types of Medicare Advantage (Part C) plans
If you want flexibility in choosing health care providers or how you pay for your health care, there are two other types of Medicare Advantage plans you may want to learn about.
|Private Fee-For-Service (PFFS) plans||
Private Fee-For-Service (PFFS) plans are available with and without provider networks. PFFS plans usually let members see any provider in the United States who accepts Medicare and the plan’s payment terms and conditions.
|Medical Savings Account (MSA) plans||
Medical Savings Account (MSA) plans combine a high-deductible health plan with a special savings account. Funds received from Medicare are deposited into the savings account and can be withdrawn tax free to pay for qualified health care expenses. These plans do not include prescription drug coverage.