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Medicare Part C Plans

Medicare Part C plans are also known as Medicare Advantage. It is a private health plan offered through Medicare and you can purchase it from a private health insurance company.

 

All Part C plans are run by private health insurance providers. They work the same way as other private health plans.

 

The plans have more benefits compared to Original Medicare. These additional benefits would include dental, hearing, and vision, as well as a prescription drug program.

 

All plans have a yearly cap on out-of-pocket expenses. Plus, the plans are restricted to a local network of healthcare providers, like doctors, hospitals, and pharmacies.

 

Medicare, per se, is a federal health program. It serves all Americans aged 65 and older. However, younger individuals can purchase this plan but they should have certain disabilities or medical conditions. Medicare has various parts. Each part covers different health services.

 

As an alternative to traditional Medicare, you can purchase a Part C or Medicare Advantage plan. It gives you the same Part A and Part B benefits.

 

However, you will get additional coverage. For example, you can have coverage for dental, hearing, and prescription drug programs.

However, you will get additional coverage. For example, you can have coverage for dental, hearing, and prescription drug programs.

 

Some seniors who wish to have more coverage because they can no longer bear their out-of-pocket expenses would choose to purchase a Medicare Part C plan. They enjoy the extra coverage that they can’t have when they stick to Original Medicare.

 

However, the extra benefits come with a price. For example, you can’t withdraw Original medicare. In that case, you will continue paying for its premium, especially Part B. It means that you will have two premiums, for Part B and Part C.

 

The private health insurance companies that sell Part C plans can set their own rates. Even though the rates are quite lower than the traditional health plan, there are complexities associated with Part C.

 

For instance, you need to use a local healthcare provider. You can’t sign up for a plan if the policy you wish to purchase is not available in your area.

 

If you have a certain plan that you want, you need to be living within a certain distance of the network. If not, you can’t enroll in that plan.

 

But this is not an issue with Original Medicare. You can visit any healthcare provider that accepts Medicare.

Medicare Part C

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Understanding Medicare Part C Plans

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Medicare is not like a traditional health plan. It has four parts. Each part will have different services to cover.

 

Regarding enrollment, you will be automatically enrolled if you are receiving Social Security benefits. It means that you are automatically signed up for Medicare Parts A and B. These two parts make up Original Medicare. This is the traditional Medicare that covers the majority of the medical care that many seniors would need, like hospice care, preventive care services, lab work, etc.

 

As an alternative to Original Medicare, you can purchase Medicare Part C or Medicare Advantage. It offers the same benefits as Original Medicare but with some extra coverage.

 

The majority of the plans include dental, hearing, and vision, among others. These are not part of traditional Medicare.

 

All Medicare programs are run by the Centers for Medicare and Medicaid Services. It is a federal agency. Medicare Advantage plans, on the other hand, are offered by private health insurance companies.

 

That’s why Medicare Part C plans look similar to traditional health plans. But the prices for MA plans are quite lower compared to the regular health insurance plan.

Coverage With Medicare Part C

If you have Original Medicare, you can sign up for a Part C plan. But, as mentioned, you need to live within the plan’s network.

Medicare Part C has emergency care and urgency needed for medical benefits. Furthermore, it covers nearly all services covered by Original Medicare. It includes inpatient and outpatient medical services. It means that lab services and preventative care are part of Part C.

 

The majority of Medicare Advantage plans integrate vision, dental, hearing, and prescription drug programs. If the plan has a prescription drug it is known as Medicare Advantage Prescription Drug (MAPD) plan.

 

In addition to these, you can also find plans that come with other services. For instance, you can purchase a plan that covers your transportation when you need to go to your doctor’s office. If you have a chronic medical condition, you can find a plan that is tailored to your health condition.

 

These additional benefits, however, are optional. Health insurance companies are not required to provide them. However, most insurance companies are including them in their plans to entice seniors in signing up for their plans.

 

But some insurers don’t include them. If you wish to know more about the benefits you can get when you sign up for a particular plan, make sure to read its benefits information. In that way, you will know whether or not the plan is all worth it.

 

It is also important to remember that no Medicare Advantage plan pays for hospice care. But traditional Medicare still covers it even if you have an MA plan. That’s why you can’t give up your Original Medicare.

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