Medicare Advantage Plans

Medicare Advantage Plan

This coverage includes:

Part A premium: Usually $0 cost / month

Standard Part B premium: $170.10* / month

Medicare Advantage Plan: $0.00-$depends on your zip code

Part A (Hospital Insurance)

Helps cover:

Inpatient care in hospitals
- includes your semi-private room, meals and nursing
- care in special units (like ICU)
- prescription drugs and medical supplies in hospital
- lab tests, x-rays and medical equipment in hospital
- operating room and recovery room services
- skilled nursing services
- some blood transfusions
Part-time skilled care for homebound
Hospice care, including meds to manage symptoms
Rehabilitation services after qualified inpatient stay

Part B (Medical Insurance)

Helps cover:

Services from doctors and other health care providers
An annual wellness visit
Many preventive services, like flu shots
Clinical laboratory services, like blood and urine tests
X-rays, MRIs, CT scans, EKGs, and other diagnostic tests
Some health programs, like smoking cessation and obesity
Physical, occupational and speech-language therapy
Diabetes screenings, education and certain supplies
Mental health care
Durable medical equipment for use at home, like wheelchairs, walkers, hospital beds, and other equip
Ambulatory surgery centers, ambulance and emergency room services

A Medicare Advantage Plan is another way to ge your Medicare Part A and Part B coverag. Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare. Most Medicare Advantage Plans include drug coverage (Part D). In most cases, you’ll need to use health care providers who participate in the plan’s network. These plans set a limit on what you’ll have to pay out-of-pocket each year for covered services. Some plans offer non-emergency coverage out of network, but typically at a higher cost. Remember, you must use the card from your Medicare Advantage Plan to get your Medicare-covered services. Keep your red, white and blue Medicare card in a safe plave because you’ll need it if you ever switch back to Original Medicare.

If you join a Medicare Advantage Plan, you’ll still have your Medicare but you’ll ge most of your Part A and Part B coverage from your Medicare Advantage Plan, not Original Medicare.

THINGS TO KNOW:

Medicare Advantage Plan

All of your Part A and Part B benefits are provided by Medicare-approved private carriers.
There is a yearly limit on your out-of-pocket costs. You will pay co-pays, co-insurance and have deductibles.
If want this type of coverage and you don’t join a Medicare Advantage Plan when you first get Part A and Part B, you may have to wait for the next yearly Open Enrollment Period to join.

* Rate for 2022. Most people pay the Standard B premium amount. If your modified AGI (Adjusted Gross Income) as reported on your IRS tax return from 2 years ago is above a certain amount, we will need to send you the chart outlining the extra charge added to your premium called IRMAA.