Whether you are approaching retirement age, or you’re already receiving Medicare benefits, we can all agree that the Medicare system is a little complicated. It can be hard to determine the right plan for you, from finding coverage options that meet your needs to premium costs appropriate to your financial situation. MedicareGov Directory is here to help. You can choose what kind of coverage options you know you need – or choose all of them, if you’re not sure! – and compare rates with our easy-to-use online tool. You can also call one of our specialists and we’ll walk you through the process.

As the largest Medicare Advantage provider in St. Louis, we have the resources to truly help you, and yet we have never lost our focus on our customers. We will take the time to really get to know you so we can better understand you and what you need from your Medicare supplement plan. We also work hard to provide information on our site to help you navigate your options. In today’s blog, we’ll be discussing Medicare Advantage plans — what they are, what they can do, and how they are different from Medigap plans. Continue reading to learn more or contact a team member at MedicareGov Directory today to start crafting your personalized plan!

What is Medicare Part C?

Medicare Advantage plans are also called Medicare Part C, and they are a kind of Medicare plan offered through private insurance companies. It is both a Medicare supplement plan and a replacement, since it providers the benefits of Medicare Part A and Part B along with additional coverage options.

There are several kinds of Medicare Advantage plans, such as HMO (health maintenance organization) plans, PPO (preferred provider organizations) plans, MSA (medical savings account) plans, and more. Each plan has its own coverage options, benefits, and costs, but most Medicare services are covered regardless of which plan you choose.

Am I Eligible?

In order to qualify for a Medicare Advantage plan, you first need to be located in an eligible service area. You also need to have Medicare Part A and Part B. If you have end-stage renal disease, however, you are automatically disqualified.

How Does It Work?

Medicare pays private insurance companies a fixed amount to provide Medicare Advantage plans. These companies have to follow a set of rules, and that often translates into rules as to how you can use your Medicare Part C benefits, although your coverage will depend on your specific plan. The costs will vary, again depending on the sub-plan you enroll in, but when you use your coverage to pay for eligible costs, your Medicare Advantage plan will cover a portion of the bill rather than original Medicare.

Benefits of Medicare Advantage Plans

When you enroll in a Medicare Part C plan, you will still receive the benefits of Medicare Part A and B. You will often have additional coverage options as well for things that original Medicare does not cover, like vision, hearing, and dental care, as well as coverage for prescription drugs. Each individualized plan has its own benefits – many include prescription drug coverage – and you may also enjoy advantages like out-of-pocket limits.

Medicare Advantage vs. Medigap Plans

The important thing you need to know is that Medicare Advantage plans and Medigap plans are not the same, and it is illegal for a company to sell you both. Both kinds of plans operate as Medicare supplement plans, filling in the coverage gaps of original Medicare. There are many aspects that separate the two plan types, however, and one common consideration is the difference in cost between them. Medicare Advantage can come with a lower overall cost, as you pay for your entire plan through a private insurance company rather than paying a premium in addition to Medicare costs.

If you are trying to determine whether Medicare Part C is right for you, the specialists at MedicareGov Directory are here to give you the information you need. Keep checking this blog for more information on Medicare supplement plans, and make sure you take advantage of the resources MedicareGov Directory has to offer. Compare rates on different plans here on-site or call today to speak to a specialist! We look forward to speaking with you.