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Home : Consumers : Medicare Advantage Plans
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Medicare Advantage Plans
Medicare Advantage plans are available from private companies that contract with the Centers for Medicare and Medicaid Services to provide Medicare benefits to enrollees.
Here are some general features of the Medicare Advantage Plans:
- The plan must provide all benefits that are provided by Medicare; however, they can reimburse each benefit at a different level
- The plan may provide additional benefits than Medicare
- Residents must live in the plan's service area
- Members must have Medicare Part A and B
- Members must not have end stage renal disease
- Members may pay the plan a monthly premium
- Members usually charge a co-payment or co-insurance for services rendered
- Some Medicare Advantage plans offer prescription drug coverage
- Claims go directly to the Medicare Advantage company and bypass Medicare
- Medicare Advantage plans are NOT supplements
Is Medicare Advantage right for me?
- Do my doctors and hospitals accept the plans terms and conditions?
- Do I need a referral to see a specialist?
- What costs are involved in the plan?
- Can I afford the annual out-of-pocket limit?
- If I am not satisfied with the Medicare Advantage plan, will my supplement take me back?
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