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Home > SHIC > Medicare Advantage Plans
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?


 
Medicare Advantage Plan marketing
medadvplanmarketing.pdf

Medicare Advantage Plans - What you need to know before you buy
mapwhatyouneedtoknowweb.pdf

Your Guide to Private Fee-for-Service Plans
http://www.medicare.gov/Publications/Pubs/pdf/10144.pdf


North Dakota Insurance Department
600 E. Boulevard Ave.
Bismarck, ND 58505-0320
Phone 701.328.2440
Toll free 800.247.0560
Fax 701.328.4880

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