Medicare Advantage, also known as Medicare Part C, is an alternative way to receive your Medicare benefits. Instead of getting coverage directly from the federal government through Original Medicare, you receive your benefits through a private insurance company approved by Medicare.
How Does Medicare Advantage Work?
Medicare Advantage plans must cover everything Original Medicare covers (Part A and Part B), but most plans go beyond the basics by offering additional benefits. You still pay your Part B premium, but many Medicare Advantage plans have $0 additional monthly premiums.
What Does Medicare Advantage Typically Cover?
In addition to standard hospital and medical coverage, most Medicare Advantage plans include prescription drug coverage, dental care including cleanings and basic procedures, vision coverage including routine eye exams, hearing benefits and hearing aid allowances, fitness program memberships, over-the-counter health product allowances, and transportation to medical appointments.
Types of Medicare Advantage Plans
HMO plans typically require you to use in-network providers and get referrals to see specialists. PPO plans offer more flexibility, allowing you to see out-of-network providers at a higher cost. Some areas also offer PFFS and SNP plans for specific populations.
Is Medicare Advantage Right for You?
Medicare Advantage works well for people who want comprehensive coverage with extra benefits, prefer lower monthly premiums, are comfortable using a network of providers, and want the simplicity of one plan covering most of their healthcare needs.
Finding the Right Plan for You
There are a variety of Medicare Advantage plans available from several major carriers nationwide. Smart Care represents multiple carriers, so we can help you compare plans side-by-side to find the best fit for your healthcare needs and budget.