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Medicare Advantage
Insurance Plan

Medicare Advantage (also known as Medicare Part C) is a type of health insurance offered by private insurance companies that contract with Medicare. It provides an alternative to Original Medicare (Part A and Part B) and is designed to offer additional benefits and services.

What Does Medicare Advantage plans Cover?

Medicare Advantage plans are required to provide at least the same level of coverage as Original Medicare (Part A and Part B), but they may offer additional benefits as well.

Here are some of the benefits that Medicare Advantage plans may cover:

  1. Hospitalization: Medicare Advantage plans cover inpatient hospital stays, as well as skilled nursing facility care, hospice care, and home health care.

  2. Medical services: Medicare Advantage plans cover doctor visits, outpatient services, preventive care, and laboratory tests.

  3. Prescription drugs: Many Medicare Advantage plans include prescription drug coverage, also known as Medicare Part D.

  4. Vision, hearing, and dental services: Some Medicare Advantage plans may cover vision, hearing, and dental services, which are not covered by Original Medicare.

  5. Wellness programs: Medicare Advantage plans may offer wellness programs, such as fitness classes or gym memberships, to help promote healthy living.

  6. Additional benefits: Some Medicare Advantage plans may offer additional benefits, such as transportation to medical appointments, meal delivery, and caregiver support.

It’s important to note that the benefits covered by Medicare Advantage plans may vary depending on the plan, so it’s important to review the plan’s summary of benefits and coverage to determine what is covered and what is not.

What Are the Medicare Advantage Network Types?

Here are the four types of Medicare Advantage network types:

  1. Health Maintenance Organization (HMO): HMO plans have a network of healthcare providers that you must use in order to receive coverage for medical services. You typically choose a primary care physician who serves as your main point of contact for all your healthcare needs. HMO plans may require referrals from your primary care physician to see a specialist.

  2. Preferred Provider Organization (PPO): PPO plans have a network of healthcare providers, but you have more flexibility in choosing which providers to see. You can see providers outside of the network, but you may pay higher out-of-pocket costs for doing so. PPO plans typically do not require referrals to see specialists.

  3. Private Fee-for-Service (PFFS): PFFS plans allow you to see any doctor or hospital that accepts the plan’s payment terms and agrees to treat you. PFFS plans typically do not require referrals to see specialists.

  4. Special Needs Plans (SNP): SNP plans are designed for individuals with specific healthcare needs, such as chronic conditions or disabilities. These plans have a network of healthcare providers that specialize in treating these conditions and may offer additional benefits and services tailored to the needs of the individual.

How Do You Enroll in Medicare Supplement?

Medicare Advantage is a type of Medicare plan offered by insurance companies that provides an alternative to Original Medicare. To be eligible for Medicare Advantage, you must:

  1. Be enrolled in Medicare Part A and Part B
  2. Live in the service area of the Medicare Advantage plan you’re considering
  3. Not have end-stage renal disease (ESRD) unless you’re enrolling in a Special Needs Plan (SNP) that specifically covers ESRD.

In addition to meeting these eligibility requirements, it’s important to note that some Medicare Advantage plans may have additional requirements for enrollment, such as being a certain age or having certain health conditions. It’s important to carefully review the plan’s eligibility requirements before enrolling.

Once you meet the eligibility requirements for Medicare Advantage, you can enroll during certain enrollment periods, such as the Initial Enrollment Period (IEP), the Annual Enrollment Period (AEP), or a Special Enrollment Period (SEP) if you have a qualifying life event.

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Enrollment in the described plan type may be limited to certain times of the year unless you qualify for a Special Enrollment Period.

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By providing your information, and/or utilizing the Service, you agree to our Website’s Privacy Policy and Terms and conditions . I also provide my express written consent and authorization to the owner of Leading Insurance and you consent to be contacted (by emails, automated dialing system, telephone calls, text messages, SMS or other forms of electronic communication such as a mobile application’s push notifications to the contact information you provide) by Leading Insurance, any one or more of its direct or indirect subsidiaries, sister companies, or parent companies, or any of their employees or independent contractors or other Marketing Partners, regarding the products and services including Medicare Supplement, Medicare Advantage and Prescription Drug Plans (as defined in the Terms and conditions and Privacy Policy) generally as well as regarding news, special offers and general information. This is a solicitation for insurance. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE (24 hours a day/7 day a week) to get information on all of your options. Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. I understand that my consent is not a condition for the purchase of any goods or services and that I may revoke my consent at any time. I Understand that my information will be provided to a licensed agent for future contact. I understand that standard message and data rates may apply.

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