Medicare Part C Explained
Medicare Advantage, or also known as Medicare Part C, is a bundled Medicare plan offered by private insurance companies. These private companies work with Medicare and make sure they provide full benefits to all beneficiaries. In a Medicare Advantage plan, private insurance companies work with Medicare to offer parts A and B medicare plans with some additional services called “Part C.” Part C plan also includes traditional Medicare plans that may not cover as vision care. A recent survey proved that 34% of all people with Medicare also have are enrolled with Medicare Advantage plans such as HMO or PPO.
Suppose you are planning to join a Medicare Advantage Plan. In that case, Part C will cover all of your Part A and Part B. Medicare Advantage Plans may also offer extra coverage, including vision, hearing, dental, and wellness programs. Most plans also include Medicare prescription drug coverage. Medicare regularly pays a fixed amount for your health expenses to the companies offering private Medicare advantage plans. These companies follow the rules set by Medicare that can change each year.
A variety of options to choose from when you opt for the Medicare C plan as: •
• Special needs plans
• Medicare medical savings account plans
• Private fee-for-service plans
• Health maintenance organization plans
• Preferred provider organization plans
Medicare Part C covers:
A regular Medicare Part C covers everything that includes in Part A and Part B and added benefits. Medicare Part A covers individual patient So, and Medicare Part C also covers the benefits of Part A, including:
• Care in a hospital
• Skilled nursing facility care
• Home health care
Medicare Part C also offers various cost-sharing amounts for individual care and home health care. Under the Medicare Advantage, your hospice care cost generally is covered by traditional Medicare. Under Original Medicare, outpatient care is generally is covered by Medicare Part B. Outpatient care includes medically necessary services and preventive services to prevent or detect disease. Medicare Part C covers the same benefits as Medicare Part B, including:
• Doctor visits (primary care doctor and specialists)
• Laboratory tests and X-rays
• Ambulance services in an emergency
• Both inpatient and outpatient mental health services
• Durable medical equipment such as walkers and wheelchairs
• Preventative tests and vaccines, including flu shots
• Physical therapy
• Occupational therapy
• Speech and language pathology
Medicare Part C may have different cost-sharing amounts for outpatient care than Original Medicare has.
Medicare Part C Costs
Various factors determine the Medicare Part C costs, including deductibles, copayments, premiums, and coinsurance. This amount ranges from $0 to hundreds of dollars for monthly premiums and yearly deductibles. There are also various costs associated with Medicare Part C plans, including:
• Monthly plan
• Coinsurance
• Drug deductions
• Part B
• In-network deductions
• Co-pays
Medicare Part C Enrollment
Medicare C enrollment period (IEP) starts from 3 months before a person turns 65. During this period, a person can get enroll in:
• Medicare Parts A and B
• Medicare Part C or Medicare Advantage
• Medicare Part D
Medicare Part C Eligibility
To enroll in Medicare part C a person needs to meet two eligibility conditions:
• Currently enrolled in Original Medicare both Parts A and B.
• Reside where the insurance provider offers the coverage that they require.
• This plan is also available during its application or enrollment period.
Medicare Part C Premiums
A person with Medicare Part C pays a monthly fixed premium. It usually starts from $0 and varies based on the type of plan you chose and its coverage. In 2019, the average monthly premium cost was $29, which was lower from 2018, $34. Private companies offer different Medicare Advantage plan types. These are different by coinsurance, deductible, and out-of-pocket limits. A person needs to look over their last year of medical costs to work out a Medicare Part C plan’s cost-effectiveness.
Schedule a No-Cost Phone Consultation
By scheduling an appointment you agree to our Terms and Services. After scheduling an appointment we will reach out to you to get more information about your needs. By submitting this information, you acknowledge a licensed insurance agent from Strickler Insurance Services may contact you by phone, email, or mail to discuss your Medicare, dental, life, and/or prescription insurance options.
Why Choose Us?
We at Strickler Insurance Services provide our clients one on one help with Medicare, Individual Family plans (Including Covered CA), Dental, and Life Insurance.
All of these consultations are at no cost to you.
Carol & Jeff Strickler spent many years working in the insurance industry with different corporations. One of the most important reasons Strickler Insurance Services was born was due to the lack of care we could provide our customers while working for corporate America.
We’re like a shopping mall for health insurance, therefore we can always provide you with options that fit your specific needs.
Reliable Protection
Count on us for dependable life insurance coverage tailored to you.
Trusted Advisors
Our expert team offers personalized guidance to help you choose the most suited plan for your needs and goals.
Leading Coverage
Providing top-rated life insurance trusted by families across North America.
(619) 415-3172 - Carol Strickler
(858) 442-7594 - Jeff Strickler
Phone Number
E-mail Address
Strickler Insurance Services
This is a proprietary website and is not, associated, endorsed, or authorized by the Social Security Administration, the Department of Health and Human Services, or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare, and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site Medicare located at
https://www.medicare.gov
© 2024 All rights reserved, Strickler Insurance Services