Have questions about Medicare open enrollment? Here’s the answers to some commonly asked questions and helpful links to learn more.
Navigating Medicare benefits can be challenging. Here’s some information about coverage, enrollment and Medicare Advantage Plans close to home.
What is a Medicare Advantage Plan?
- For those over 65, or with a qualifying disability, who qualify for Medicare
- Enrollment is open Oct. 15 through Dec. 7.
- Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, you still have Medicare. You’ll get your Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) coverage from the Medicare Advantage Plan and not original Medicare.
- These plans typically offer lower out-of-pocket costs than traditional government-run Medicare in exchange for members using in-network doctors and hospitals.
- In addition, they eliminate the need for additional insurance, such as Medigap.
What do Medicare Advantage Plans cover?
In addition to the Medicare services that all Medicare Advantage Plans must cover, some plans may cover extra benefits for an extra cost, including:
- Long-term care not covered by Medicare
- Some plans may offer prescription drug coverage under a medicare part D plan
Why Should I Get a Medicare Advantage Plan?
- Simplifies medicare coverage by centralizing medicare part A, gap coverage, prescription and additional benefits into a single package.
- If you take prescription drugs, original Medicare doesn’t cover prescriptions unless you pay extra to add Part D coverage. In many cases you can get a medicare advantage plan with prescription coverage included.
- Your out-of-pocket costs are typically lower in a Medicare Advantage Plan.
- You can join a Medicare Advantage Plan even if you have a pre-existing condition, except for end-stage renal disease (ESRD).
- You can check with the plan before you get a service to find out if it’s covered and what your costs may be.
- Following plan rules, like getting a referral to see a specialist in the plan’s network, can keep your costs lower.
- Medicare Advantage Plans have a yearly limit on your out-of-pocket costs for medical services. Once you reach this limit, you’ll pay nothing for covered services.
- If you want vision or dental coverage.
- If you prefer to work with a local company rather than a government agency.
How do I learn more about a local option for a Medicare Advantage Plan?
Visit the Senior Care Plus website to schedule a free informational meeting with an insurance expert to see if a Medicare advantage plan is right for you. Learn more at seniorcareplus.com or by calling 775-982-3191.
Learn more about Renown Health at Renown.org/newpatient.
*Per Medicare Plan Finder 10/2017.