What is Medicare Advantage?

Medicare Advantage, also known as Medicare Part C, is a plan provided by private insurance companies with the help from subsidies provided by the government so that the insurance company can design network based plans at a low or zero premium. 


These plans are normally designed with copays and coinsurance throughout the plans as a form of cost share that the client would assume when joining one of these plans. Most plans will include additional benefits at no additional cost to you such as dental, vision, and/or hearing benefits as an example.


So let’s take a closer look at Medicare Avantage Plans.

Benefits of Medicare Advantage

  It’s convenient to have a single plan for everything.

  The plan covers everything traditional Medicare covers (hospital insurance and medical insurance) as well as emergency and urgent care.

  Many plans also cover dental care, eyeglasses, and wellness programs.

  Most plans also include prescription drug coverage at no cost.

  Your eligibility isn’t affected by health or financial status

 Premiums are low, often $0 dollars in most markets

Advantage Plans cover your deductibles

Drawbacks of

Medicare Advantage

  You’re restricted to certain doctors in your network (unless it’s an emergency)

  Plan premiums can change from year to year

  Many plans also cover dental care, eyeglasses, and wellness programs.

  Difficult to switch to Medigap later on

  Plan benefits can change from year to year

  You’re subject to co-pays and co-insurance that can add up to $3,400-$6,700


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