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MEDICARE
ADVANTAGE PLANS

What is Medicare Advantage

A type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan and aren’t paid for under Original Medicare. Medicare Advantage plans were created under the Balanced Budget Act of 1997 and signed into law by President Bill Clinton. These plans are commonly called Part C of Medicare.

Medicare Part C

Medicare Part C plans and Medicare Advantage Plans are the same thing. They often have networks and may require you to obtain referrals to see a specialist. 

Part

=

Medicare Advantage

C

How Medicare Advantage Works

A Medicare Advantage plan is a private Medicare insurance plan you may join as an alternative way to get your Part A and B benefits. When you do, Medicare pays the plan a fee every month to administer your Part A and B benefits.

You must stay enrolled in Medicare Part A and B while enrolled in your Medicare Advantage plan. Medicare pays the Advantage plan company on your behalf to take on your medical risk. This is how Medicare Advantage plans are funded.

You will present your Advantage plan ID card at the time of treatment. Your providers will bill the plan instead of Original Medicare. This is also why some providers consider them Medicare replacement plans. Still, it’s important to remember that you can always return to Original Medicare during a future annual election period .

Basic Medicare Advantage RULES

If you are deciding between Medicare Advantage and Medigap, you’ll want to consider some of the rules before you enroll.

  • You must be enrolled in Medicare Part A & B and live in the plan service area. Some people think they can drop Part B if they enroll in Medicare Advantage. That is incorrect. If you drop Part B while enrolled, you will immediately be disenrolled from your Medicare Advantage plan.
  • Use network doctors and hospitals for the lowest out-of-pocket costs.
  • Advantage plans may require prior authorization for certain procedures.
  • You may need to obtain a referral from your primary care physician.

You must direct your providers to bill your Medicare Advantage plan. People who enroll in Advantage plans for Medicare are agreeing, for the rest of the calendar year, to be covered by the plan instead of Original Medicare.

Medicare Advantage Enrollment Periods

Medicare Advantage plans have lock-in periods. You can enroll in one during the Initial Enrollment Period when you first turn 65. After that, you may enroll or dis-enroll only during certain times of the year. Once you enroll in Medicare Advantage, you must stay enrolled in the plan for the rest of the calendar year. You may only dis-enroll from an Advantage plan during certain times of the year unless you qualify for a special enrollment period due to a specific circumstance.

medicare advantage enrollment periods

The Annual Election Period in the fall is the most common time to change your Medicare Advantage plan. This period runs from October 15 – December 7 each fall. Changes made to your enrollment will take effect on January 1.

If you leave a MAPD and return to Original Medicare, you must notify your Medicare Advantage plan carrier. Otherwise, Medicare will continue to show that you are enrolled in the Advantage plan instead of Medicare.

How I can help

Enrolling in Medicare can be a confusing. I’m committed to and passionate about guiding you through that process. My job is to help you find the most cost effective options that provide you with the coverage and care that you need. I partner with many different companies that work well for Medicare beneficiaries. Rather than focus on the absolute cheapest solution, I seek companies that offer affordable coverage now and have a history of keeping rates stable long term.

I believe that my experience and commitment to keeping my clients updated and educated on the latest developments will serve you well now and in the future.

MEDICARE
ADVANTAGE PLANS

What is Medicare Advantage

A type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan and aren’t paid for under Original Medicare. Medicare Advantage plans were created under the Balanced Budget Act of 1997 and signed into law by President Bill Clinton. These plans are commonly called Part C of Medicare.

Medicare Part C

Medicare Part C plans and Medicare Advantage Plans are the same thing. They often have networks and may require you to obtain referrals to see a specialist. 

Part

=

Medicare Advantage

C

How Medicare Advantage Works

A Medicare Advantage plan is a private Medicare insurance plan you may join as an alternative way to get your Part A and B benefits. When you do, Medicare pays the plan a fee every month to administer your Part A and B benefits.

You must stay enrolled in Medicare Part A and B while enrolled in your Medicare Advantage plan. Medicare pays the Advantage plan company on your behalf to take on your medical risk. This is how Medicare Advantage plans are funded.

You will present your Advantage plan ID card at the time of treatment. Your providers will bill the plan instead of Original Medicare. This is also why some providers consider them Medicare replacement plans. Still, it’s important to remember that you can always return to Original Medicare during a future annual election period .

Basic Medicare Advantage RULES

If you are deciding between Medicare Advantage and Medigap, you’ll want to consider some of the rules before you enroll.

  • You must be enrolled in Medicare Part A & B and live in the plan service area. Some people think they can drop Part B if they enroll in Medicare Advantage. That is incorrect. If you drop Part B while enrolled, you will immediately be disenrolled from your Medicare Advantage plan.
  • Use network doctors and hospitals for the lowest out-of-pocket costs.
  • Advantage plans may require prior authorization for certain procedures.
  • You may need to obtain a referral from your primary care physician.

You must direct your providers to bill your Medicare Advantage plan. People who enroll in Advantage plans for Medicare are agreeing, for the rest of the calendar year, to be covered by the plan instead of Original Medicare.

Medicare Advantage Enrollment Periods

Medicare Advantage plans have lock-in periods. You can enroll in one during the Initial Enrollment Period when you first turn 65. After that, you may enroll or dis-enroll only during certain times of the year. Once you enroll in Medicare Advantage, you must stay enrolled in the plan for the rest of the calendar year. You may only dis-enroll from an Advantage plan during certain times of the year unless you qualify for a special enrollment period due to a specific circumstance.

medicare advantage enrollment periods

The Annual Election Period in the fall is the most common time to change your Medicare Advantage plan. This period runs from October 15 – December 7 each fall. Changes made to your enrollment will take effect on January 1.

If you leave a MAPD and return to Original Medicare, you must notify your Medicare Advantage plan carrier. Otherwise, Medicare will continue to show that you are enrolled in the Advantage plan instead of Medicare.

How I can help

Enrolling in Medicare can be a confusing. I’m committed to and passionate about guiding you through that process. My job is to help you find the most cost effective options that provide you with the coverage and care that you need. I partner with many different companies that work well for Medicare beneficiaries. Rather than focus on the absolute cheapest solution, I seek companies that offer affordable coverage now and have a history of keeping rates stable long term.

I believe that my experience and commitment to keeping my clients updated and educated on the latest developments will serve you well now and in the future.

MEDICARE
ADVANTAGE PLANS

What is Medicare Advantage

A type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan and aren’t paid for under Original Medicare. Medicare Advantage plans were created under the Balanced Budget Act of 1997 and signed into law by President Bill Clinton. These plans are commonly called Part C of Medicare.

Medicare Part C

Medicare Part C plans and Medicare Advantage Plans are the same thing. They often have networks and may require you to obtain referrals to see a specialist. 

PART C = MEDICARE ADVANTAGE

How Medicare Advantage Works

A Medicare Advantage plan is a private Medicare insurance plan you may join as an alternative way to get your Part A and B benefits. When you do, Medicare pays the plan a fee every month to administer your Part A and B benefits.

You must stay enrolled in Medicare Part A and B while enrolled in your Medicare Advantage plan. Medicare pays the Advantage plan company on your behalf to take on your medical risk. This is how Medicare Advantage plans are funded.

You will present your Advantage plan ID card at the time of treatment. Your providers will bill the plan instead of Original Medicare. This is also why some providers consider them Medicare replacement plans. Still, it’s important to remember that you can always return to Original Medicare during a future annual election period .

Basic Medicare Advantage Rules

If you are deciding between Medicare Advantage and Medigap, you’ll want to consider some of the rules before you enroll.

  • You must be enrolled in Medicare Part A & B and live in the plan service area. Some people think they can drop Part B if they enroll in Medicare Advantage. That is incorrect. If you drop Part B while enrolled, you will immediately be disenrolled from your Medicare Advantage plan.
  • Use network doctors and hospitals for the lowest out-of-pocket costs. 
  • Advantage plans may require prior authorization for certain procedures.
  • You may need to obtain a referral from your primary care physician.

You must direct your providers to bill your Medicare Advantage plan. People who enroll in Advantage plans for Medicare are agreeing, for the rest of the calendar year, to be covered by the plan instead of Original Medicare.

Medicare Advantage Enrollment Periods

Medicare Advantage plans have lock-in periods. You can enroll in one during the Initial Enrollment Period when you first turn 65. After that, you may enroll or dis-enroll only during certain times of the year. Once you enroll in Medicare Advantage, you must stay enrolled in the plan for the rest of the calendar year. You may only dis-enroll from an Advantage plan during certain times of the year unless you qualify for a special enrollment period due to a specific circumstance.

medicare advantage enrollment periods

The Annual Election Period in the fall is the most common time to change your Medicare Advantage plan. This period runs from October 15 – December 7 each fall. Changes made to your enrollment will take effect on January 1.

If you leave a MAPD and return to Original Medicare, you must notify your Medicare Advantage plan carrier. Otherwise, Medicare will continue to show that you are enrolled in the Advantage plan instead of Medicare.

How I can help

Enrolling in Medicare can be a confusing. I’m committed to and passionate about guiding you through that process. My job is to help you find the most cost effective options that provide you with the coverage and care that you need. I partner with many different companies that work well for Medicare beneficiaries. Rather than focus on the absolute cheapest solution, I seek companies that offer affordable coverage now and have a history of keeping rates stable long term.

I believe that my experience and commitment to keeping my clients updated and educated on the latest developments will serve you well now and in the future.