Medicare Advantage (Part C)
Medicare Advantage plans provide Medicare coverage through private health insurance companies approved to participate in the Medicare program. These plans can be HMOs, PPOs, Regional PPOs or Private Fee-for-Service plans.
Medicare Advantage plans provide all Part A and B services while generally including some additional services, such as wellness programs, hearing aids and vision services. These plans also tend to have lower cost sharing overall and a maximum that you would have to pay for out-of-pocket costs each calendar year–a feature not available through Original Medicare.
Costs
Premium |
All Medicare Advantage plans require that you continue to pay your Part B insurance premium. You might also have to pay a separate monthly insurance premium for your Medicare Advantage plan. |
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Deductibles |
Some plans have deductibles. |
Copays |
A copayment may apply to specific services, such as doctor office visits. |
Coinsurance |
Cost sharing amounts may apply to specific services. |
Out-of-Pocket Expenses |
All Medicare Advantage plans have an annual limit on your out-of-pocket expenses, which is a feature not available through Original Medicare. |