Medicare Advantage Plus
Medicare Advantage Plans & other options
What are Medicare Advantage Plans?
A Medicare Advantage Plan (like an HMO or PPO) is another way to get your Medicare coverage. Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are offered by Medicare-approved private companies that must follow rules set by Medicare. If you join a Medicare Advantage Plan, you'll still have Medicare but you'll get your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan, not Original Medicare. In most cases, you'll need to use health care providers who participate in the plan's network. Some plans offer out-of-network coverage. Remember, in most cases, you must use the card from your Medicare Advantage Plan to get your Medicare-covered services. Keep your Medicare card in a safe place because you'll need it if you ever switch back to Original Medicare.
What are the different types of Medicare Advantage Plans?
Health Maintenance Organization (HMO) plans: See page 61.
Preferred Provider Organization (PPO) plans: See page 62.
Private Fee-for-Service (PFFS) plans: See page 63.
Special Needs Plans (SNPs): See page 64.
HMO Point-of-Service (HMOPOS) plans: These are HMO plans that may allow you to get some services out-of-network for a higher copayment or coinsurance.
Medical Savings Account (MSA) Plans: These plans combine a high deductible health plan with a bank account that the plan selects. The plan 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. MSA Plans don't offer Medicare drug coverage. If you want drug coverage, you have to join a Medicare Prescription Drug Plan. For more information on MSA Plans, visit www.Medicare.gov. To find out if an MSA Plan is available in your area, visit Medicare.gov/find-a-plan.
For a complete step-by-step guide to understanding Medicare Advantage Plans and other options