Medicare Advantage

Medicare Advantage

A Medicare Advantage Plan (like an HMO or PPO), sometimes called “Part C” or an “MA Plan” are offered by Medicare-approved private insurance companies that must follow the rules set by Medicare. If you join a Medicare Advantage Plan, you’ll still have Medicare but you’ll get your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan, not Original Medicare. You’ll generally get your services from a plan’s network of providers.

Advantages

  • Convenience of single plan
  • Some include prescription drug coverage for no additional premium
  • Some offer additional benefits not covered by Medicare (e.g., preventive care, vision, hearing aids, or transportation)
  • If eligible for Medicare, you cannot be denied coverage (special rules apply to ESRD)
  • If there is a premium, it is not affected by your age or health status

Disadvantages

  • In most plans, you receive your coverage in a service area – unless it’s an emergency
  • Your access to doctors and hospitals may be limited to a specified network of local providers
  • Plan premiums and terms can change from year to year
    There are limited time periods for enrollment or plan changes

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Stephanie Casper Insurance Services
Benicia, CA 94510

Number:
(707) 334-6768

Hours:
MON-FRI 7AM - 4PM