Medicare Advantage Plans
A type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan and aren’t paid for under Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage.
-Health Maintenance Organization (HMO) Plans -Preferred Provider Organization (PPO) Plans -Private Fee-for-Service (PFFS) Plans -Special Needs Plans (SNPs) HMO Point of Service (HMOPOS) Plans: An HMO Plan that may allow you to get some services out-of-network for a higher cost. Medical Savings Account (MSA) Plans: A plan that combines a high deductible health plan with a bank account. Medicare deposits money into the account (usually less than the deductible). You can use the money to pay for your health care services during the year. -HMO Point of Service (HMOPOS) Plans: An HMO Plan that may allow you to get some services out-of-network for a higher cost. -Medical Savings Account (MSA) Plans: A plan that combines a high deductible health plan with a bank account. Medicare deposits money into the account (usually less than the deductible). You can use the money to pay for your health care services during the year.
Generally one can join a Medicare Advantage Plan if they are: under 65 with 24 consecutive months under permanent disability, have ALS, or are turning 65 and have met all working requirements. Call Proulx-Dunford for assistance.
Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, you still have your original Medicare backing your plan. You'll get your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage through the Medicare Advantage Plan provider.
Medicare Advantage Plans are required to cover all Medicare covered services. Most Plans offer additional coverage such as vision, hearing, dental, and a fitness membership.
Depending on the plan you select will determine your benefits.
Most Medicare Advantage Plans include prescription drug coverage (Part D). As you can see selecting a Medicare Advantage Plan can be confusing. Proulx-Dunford can help you identify which plan best suites your needs.
Starting Medicare has never been as simple as signing up when you turn 65. If you time your enrollment wrong you can end up paying extra money for Medicare for the rest of your life—or paying for parts of Medicare that you may not need. We can assist you through this process.