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MEDICARE

Medicare Advantage

Medicare Advantage, also called Part C, is an alternative way to receive Medicare benefits through a private Medicare-approved plan.

How Medicare Advantage Works

Medicare Advantage plans provide Part A and Part B benefits and usually include Part D prescription drug coverage. Plans may offer additional benefits, but provider networks, referrals, prior authorization rules, premiums and cost sharing vary by plan.

What to Consider Before You Choose

  • Confirm your doctors and preferred hospitals are in the plan network.
  • Review prescription drugs and preferred pharmacies, not just medical benefits.
  • Compare the plan’s maximum out-of-pocket limit and service-by-service copays.
  • Consider travel and time spent outside the plan’s service area.
  • Special Needs Plans may be available for people who meet specific eligibility requirements.

Who Often Considers Medicare Advantage

Medicare Advantage may fit people who prefer an all-in-one plan structure and are comfortable evaluating networks, plan rules and annual benefit changes.