Medicare ADvantage

Medicare Part C

A type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage plans provide all of your Part A and Part B benefits. Medicare Advantage Plans include:

  • Health Maintenance Organizations

  • Preferred Provider Organizations

  • Private Fee-for-Service Plans

  • Special Needs Plans

  • Medicare Medical Savings Account Plans

If you're enrolled in a Medicare Advantage Plan:
 

  • Most Medicare services are covered through the plan

  • Medicare services aren't paid for by Original Medicare

Most Medicare Advantage Plans offer prescription drug coverage.

What's Medicare Advantage?

Sometimes called "Part C" – includes both Part A (Hospital Insurance) and Part B (Medical Insurance).

Who provides coverage?

Private insurance companies approved by Medicare.

How do you choose your providers?

You may need to use health care providers who participate in the plan’s network.

How much does it cost?

  • In 2019, the standard Part B premium amount is $135.50 (or higher depending on your income).

  • You usually pay a monthly premium for your MA Plan (in addition to your monthly Part B premium).

  • You may pay a copayment or coinsurance for covered services. Many MA plans offer vision, hearing, and dental coverage. Costs, extra coverage, and rules vary by plan.

  • Plans have a yearly limit on your out-of-pocket costs. Once you reach a certain limit, you’ll pay nothing for covered services for the rest of the year.

  • Your out-of-pocket costs may be lower in an MA plan. This option may be more cost effective for you.

Learn more about costs for MA plans.

Learn more about how MA plans work.

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