Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are offered by private companies approved by and under contract with Medicare. Members of a Medicare Advantage Plan, which are similar to an HMO or PPO, receive Part A (Hospital Insurance)
and Part B (Medical Insurance)
coverage, as well as emergency and urgent care.
Advantage plans are another health coverage choice. Medicare Advantage Plans must cover all the services that Original Medicare covers except hospice care, which is always covered by Original Medicare. Medicare Advantage Plans aren't considered supplemental coverage.
Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Most include Medicare prescription drug coverage. In addition to the Part B premium, there is usually one monthly premium for the additional services provided by the Medicare Advantage Plan.
Medicare pays a fixed amount every month to the companies offering Medicare Advantage Plans. These companies must follow rules set by Medicare. However, each Medicare Advantage Plan can charge different out-of-pocket costs and have different rules for how to get services and referrals and may limit access to doctors, facilities, or suppliers that belong to the plan).
Medicare Advantage Plans include the following:
• Health Maintenance Organization (HMO) Plans
• Preferred Provider Organization (PPO) Plans
• Medical Savings Account (MSA) Plans
• Special Needs Plans (SNP)