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What are Medicare Advantage Plans?
Medicare Advantage Plans are offered by private insurance groups. They allow qualifying participants to receive a wide range of benefits that Original Medicare doesn’t offer. Advantage Plans may also be referred to as “MA Plans” or “Medicare Part C.”
Additional benefits may include:
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Dental and vision
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Hearing care and accessories
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Prescription drug coverage
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Transportation to medical appointments
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Installation of home modifications
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Complimentary memberships to gyms or wellness programs
Do I Qualify for Medicare Advantage Plans?
Part C Plans have three requirements:
• You are already enrolled in Original Medicare – both Part A and Part B
• You reside in the service area of the insurance provider during your open enrollment period
What is the Cost of Medicare Advantage Plans?
Premiums for MA Plans vary. According to the National Council on Aging, the average is $28 per month. However, some service areas have zero dollar premium plans. Any premium will be in addition to your Medicare Part B responsibility.
When is the Enrollment Period?
The initial enrollment period for Medicare Part C is the same as those for Original Medicare. Three months before your 65th birthday, your enrollment period begins. It continues during the month you turn 65 and is available to you for the next 3 months.
You may also be eligible to enroll if you have a newly diagnosed disability or experience another qualifying life event, such as leaving or entering an institution.
If you miss your first enrollment period, the annual election period (AEP) each year begins on October 15 and lasts until December 7.
How do I Know if Medicare Advantage Plans are the Right Choice for Me?
Medicare Advantage Plans provide an alternative way to receive your Medicare Part A and Part B benefits, often including additional coverage. These plans can help you anticipate your annual healthcare costs by setting a maximum out-of-pocket limit on your spending—a feature not included with Original Medicare.
Alternatively, if you prefer to minimize copayments at the time of service, a Medicare Supplement (Medigap) policy might be a good fit. While Medigap plans typically involve a higher monthly premium, they generally cover many of the out-of-pocket costs that Original Medicare does not.
The best option for you depends on your specific healthcare needs. You are encouraged to take the time to discuss your options with a licensed insurance agent.
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