Medicare Part C: Medicare Advantage Plans
Medicare Part C, also known as Medicare Advantage, is offered through private insurance companies that are approved by Medicare. These plans bundle together the benefits of Part A and Part B, and often include extras. Here’s what makes Medicare Advantage plans different:
- All-in-One Coverage: Medicare Advantage plans combine hospital, medical, and sometimes prescription drug coverage (Part D) into one plan. You still get everything that Parts A and B cover, but you often have extra benefits included, like dental, vision, hearing, and even fitness memberships. Think of this as the buffet at your favorite local restaurant.
- Network-Based Care: Most Medicare Advantage plans operate like an HMO or PPO, meaning you’ll need to use doctors and hospitals within the plan’s network. This is different from Original Medicare, which lets you see any doctor or specialist who accepts Medicare.
- Cost Structure: Medicare Advantage plans often have lower monthly premiums compared to Medigap plans, but you might pay more out-of-pocket when you receive care. You typically pay copays for doctor visits, hospital stays, and other services, and these costs can vary depending on the specific plan.
- Extra Benefits: One big appeal of Medicare Advantage is the additional benefits that aren’t covered under Original Medicare, such as dental exams, eyeglasses, and even transportation to doctor appointments.
Medicare Advantage plans have an annual out-of-pocket maximum, which is a cap on what you’ll pay for covered services each year. This can offer some financial predictability, but it’s important to choose a plan that aligns with your healthcare needs and preferred doctors or facilities.