Medicare Advantage plans (Part C)
As part of Medicare Advantage plans, Medicare beneficiaries can obtain Medicare coverage through private health insurance companies that are approved by Medicare to participate in the program. Plan types include HMOs, PPOs, regional PPOs, and private fee-for-service plans.
In addition to providing all parts A and B of Medicare services, Medicare Advantage plans generally include additional services such as wellness programs, hearing aids, and vision care. There are also fewer cost sharing requirements and a maximum that you must pay for out-of-pocket expenses each calendar year with these plans.
Premium
Deductibles
Copays
Coinsurance
Out-of-Pocket Expenses
All Medicare Advantage plans require that you continue to pay your Part B insurance premium. You might also have to pay a separate monthly insurance premium for your Medicare Advantage plan.
Some plans have deductibles.
A copayment may apply to specific services, such as doctor office visits.
Cost sharing amounts may apply to specific services.
All Medicare Advantage plans have an annual limit on your out-of-pocket expenses, which is a feature not available through Original Medicare.
Medicare Advantage plans have defined geographic service areas and most have networks of physicians and hospitals where you can receive care. Ask your physicians if they participate in your health insurance plan’s Medicare Advantage network.
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Prescription drug coverage is generally included in Medicare Advantage plans (such as PPOs and HMOs).
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Depending on the plan you choose, your annual costs may vary based on premiums, copayments, coinsurance, etc.
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It is possible for Medicare Advantage plans to have different copayments or cost sharing amounts for Medicare covered services when compared to Original Medicare.
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The monthly premiums and benefits of Medicare Advantage plans may change each year. The cost sharing amounts, standard deductibles, and Part B premiums also change on January 1 of each year in Original Medicare.
Medicare Supplements
Along with Original Medicare, Medicare Supplement Insurance helps cover certain out-of-pocket Medicare costs.
Among these costs are Medicare Part A coinsurance, the Medicare Part A deductible, and Medicare Part B coinsurance.
Most Medigap plans do not offer additional benefits beyond what Original Medicare covers.
Medicare Prescription Drug Plans
Medicare Part D plans add prescription drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private Fee-for-Service (PFFS) Plans, and Medicare Medical Savings Account (MSA) Plans. A prescription drug plan may help you save money on existing prescriptions or on medication needs in the future.
Routt Insurance website is a licensed health insurance agency based in Florida; Routt Insurance License #546852 is a licensed and certified representative of Medicare Advantage HMO, PPO and PFFS organizations and stand-alone prescription drug plans with a Medicare contract. Routt Insurance is not affiliated with the federal government. Enrollment in any plan depends on contract renewal.For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.PLEASE NOTE: Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability, ALS (Amyotrophic Lateral Sclerosis also known as Lou Gehrig’s disease) or End-Stage Renal disease.Medicare supplement plans cannot be held with Medicare Advantage plans.The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company.Medicare supplement plans are not connected with or endorsed by the U.S. Government or the federal Medicare program.The Centers for Medicare and Medicaid Services (CMS) does not review or approve Medicare Supplement plan information.