Medicare Advantage (Part C)
Last updated October 2021
Through the Medicare Modernization Act of 2003, Medicare made it easier for private insurance companies to offer alternatives to Original Medicare (Parts A & B) and a Medicare supplemental insurance policy. Medicare sponsors Medicare Advantage plans as part of the Medicare program and pays the plans to manage a person’s health care.
In order to enroll in these plans you will need to be enrolled in Part A and Part B of Medicare which means paying the Part B premium. While Medicare Advantage plans in essence replaces Original Medicare, they must cover what Medicare covers; however, the costs for each service may vary. You receive all your Medicare-covered benefits through the private plan chosen.
The types of plans included are:
- Health Maintenance Organizations (HMO)
- Preferred Provider Organizations (PPO)
- Private Fee-for-Service Plans
- Medicare Special Needs Plans
- Medicare Savings Account
Some of the plans above may include prescription drug coverage and other extras such as vision and hearing services and allowances and dental coverage. NOTE: generally, to receive the full value of a Medicare Advantage plan, you must receive care from a network of local providers and hospitals.
For more information about Medicare Advantage plans available in your area, please contact us.
Important Medicare Phone #s
- For Medicare enrollment: contact Social Security at 1-800-772-1213
- For Medicare coverage questions: call 1-800-MEDICARE
- For government sponsored assistance with Medicare and Social Security contact HICAP (Health Insurance Counseling and Advocacy Program) at 1-800-434-0222
- For information about Medicare Supplemental coverage, contact Phil or John at OnlyHealthInsurance at 1-800-924-1411