Medicare Advantage Plans, sometimes called Part C, are health plan options that are part of the Medicare program. If you join one of these plans, you generally get all your Medicare-covered health care through the Medicare Advantage Plan. This coverage can include prescription drug coverage. Medicare Advantage Plans include:
Medicare Health Maintenance Organization (HMOs)
Preferred Provider Organizations (PPO)
Private Fee-for-Service Plans
Medicare Special Needs Plans
When you join a Medicare Advantage Plan, you use the health insurance card that you get from the plan for your health care. In most of these plans, there generally are extra benefits and lower co-payments than in the Original Medicare Plan. Most Medicare Advantage Plans are managed care plans, usually a health maintenance organization (HMO) or a preferred provider organization (PPO) and you may have to see doctors that belong to the plan or go to certain hospitals to get services.
To join a Medicare Advantage Plan, you must have Medicare Part A and Part B. You will have to pay your monthly Medicare Part B premium to Medicare. In addition, you may have to pay a monthly premium to your Medicare Advantage Plan for the extra benefits that they offer. In 2022, the standard Part B premium amount is $170.10 (or higher depending on your income). However, some people who get Social Security benefits pay less than this amount.
When Can I Enroll?
Keep in mind that Medicare limits when you can join, switch, or drop a Medicare Advantage Plan. You can join a plan when you first become eligible for Medicare. This is anytime beginning three months before the month you turn 65 and ends three months after the month you turned 65.
For example, if you turn 65 on May 5, your eligibility period starts on February 1 and ends on August 31.
If you are disabled and have Social Security Disability Insurance, you can join an advantage plan three months before to three months after month 25 of your disability.
You can switch or drop your Medicare Advantage during an enrollment period between October 15 and December 7 of each year.
This is your chance to gather information and ask specific questions! If you already have Medicare questions, feel free to call or email us now!
Step 2: Evaluate!
The first step to the evaluation process is clicking the "schedule your free call" button and setting up a time with an advisor. This phone session is designed to turn your general questions into specific solutions to meet your needs.
Step 3: Sign up!
At this point, you are confident in your Medicare coverage decisions and you’re ready to have your agent enroll you into your plans. During this time, we will recap your coverage decisions. The sign-up phase is completed via phone and email so that you don’t have to deal with any paperwork hassle.
Step 4: Time to Review!
Medicare isn’t a one-time deal! We help our clients go through an annual review during the Annual Election Period (October 15 – December 7). This is your chance to evaluate different Medicare Advantage or prescription Part D options with us.