Senior Health Insurance

Medicare Advantage

Medicare Advantage (MA) is offered by a private company that is contracted through Medicare to provide seniors with Part A and Part B benefits. These plans are usually HMOs or PPOs, but can also be a Private Fee-for-Service Plan, Special Needs Plan, or Medicare Medical Savings Account Plan.

How do Medicare Advantage Plans Work?

Medicare Advantage plans replace Original Medicare in the following ways:

  • Medicare Advantage must follow Medicare’s rules
  • Medicare Advantage plans are local, HMO/PPO type networks
  • Medicare pays toward your care each month to your chosen provider of Medicare Advantage plans
  • Medicare Advantage plans can charge different out-of-pocket costs for services depending on provider and plan
  • Although MA must follow Medicare’s rules, these plans may set up how you receive services**
  • Most MA plans offer prescription drug coverage
  • You cannot have Medigap and Medicare Advantage at the same time

**Each Medicare Advantage plan may set up its own way of how your receive services, such as if you need a referral for a specialist and if you have to stay in network. You will need to check with your provider to see how your plan works for you.

Why Choose Medicare Advantage?

Medicare Advantage offers a lot of benefits at a low-cost. These plans are inexpensive, basic plans, that can limit your out of pocket costs, as long as you read the fine print, and are okay with copays and a limited network, this might be the right fit. If you have further questions go to our dedicated Senior Healthcare site.