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 through Original Medicare.
Medicare Advantage Plans cover all Medicare services. Medicare Advantage Plans may also offer extra coverage. Over the next several weeks we will be blogging on the rules, costs, and coverage of Medicare Advantage plans to help you determine if one is right for you.
First up: Rules for Medicare Advantage Plans
Medicare pays a fixed amount for your care each month to the companies offering Medicare Advantage Plans. These companies must all follow the same rules set by Medicare.
However, each Medicare Advantage Plan can charge different out-of-pocket costs and have different rules for how you receive services (like whether or not you need a referral to see a specialist, or if you have to see specific doctors, facilities, or suppliers that belong to the plan for non-emergency or non-urgent care group). These rules can change each year.
How Medicare Supplement Insurance (Medigap) policies work with Medicare Advantage Plans
Medigap policies (also known as Supplemental Insurance), can’t work with Medicare Advantage Plans. Learn about your options related to Supplemental Medicare Policies here, or by calling us toll free at 855-205-4928, to speak with a knowledgeable Custom Care Specialist. SMG Health is here to help you navigate your Medicare policies and needs.