Medicare Advantage solutions

A Medicare Advantage Plan is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. Medicare Advantage solutions include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service solutions , Special Needs solutions, and Medicare Medical Savings Account solutions. If you’re enrolled in a Medicare Advantage Plan, Medicare services are covered through the plan and aren’t paid for under Original Medicare. Most Medicare Advantage solutions offer prescription drug coverage.

Shop for Medicare Advange Plan

How do Medicare Advantage Solutions work?

Medicare Advantage solutions , sometimes called “Part C” or “MA solutions,” 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.

Medicare Advantage Solutions cover all Medicare services

Medicare health solutions provide Part A and Part B benefits to people with Medicare who enroll in these solutions, which include Medicare Advantage solutions, Medicare Cost solutions, Demonstration/Pilot Programs, and Programs of All-inclusive Care for the Elderly (PACE).

Medicare Advantage solutions must follow Medicare's rules

Medicare pays a fixed amount for your care each month to the companies offering Medicare Advantage solutions. 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 you get services (like whether you need a referral to see a specialist or if you have to go to only doctors, facilities, or suppliers that belong to the plan for non-emergency or non-urgent care). These rules can change each year.

Costs for Medicare health solutions

Find out what factors contribute to how much you pay out-of-pocket when you have a Medicare health plan.

Drug coverage in Medicare Advantage Solutions

You usually get prescription drug coverage through the plan. In some types of solutions that don’t offer drug coverage, you can join a Medicare Prescription Drug Plan. You can’t have prescription drug coverage through both a Medicare Advantage Plan and a Medicare Prescription Drug Plan. If you’re in a Medicare Advantage Plan that includes drug coverage and you join a Medicare Prescription Drug Plan, you’ll be disenrolled from your Medicare Advantage Plan and returned to Original Medicare.