Part C - Medicare Advantage (MA)
Medicare Advantage plans replaces the benefits of Original Medicare (Parts A & B) and provide coverage that must, at minimum, be equal to the benefits found Original Medicare. Many times Medicare Advantage plans include a Part D prescription drug plan. Specific information about the plans coverage can be found in the summary of benefits and formulary sent to each enrolled beneficiary yearly.
Types of Plans
Health Maintenance Organization (HMO) – These plans are networked by the county, require referrals to specialists, and utilize a method of treatment called step therapy. They limit the overall exposure found in Parts A and B of Original Medicare and come with a Maximum Out of Pocket.
Typical Cost is $0
Preferred Provider Organization (PPO) –
Varies in Cost by Carrier