Medicare Advantage
Medicare Advantage plans are also known as Medicare Part C. Part C plans offer the same benefits as Medicare Part A and Part B and can serve as an alternative to Original Medicare. However, before you can purchase a Medicare Advantage plan, you must have Medicare Part A and Part B.
Unlike Original Medicare, Medicare Advantage plans are offered by Medicare-approved private insurers. Though Part C plans must cover the same services as Medicare Part A and Part B, most plans provide additional services such as prescription drug coverage, fitness memberships, and dental and hearing coverage.
Medicare Advantage plans are divided into different categories, each with its different features. Below are the types of Medicare Advantage plans.
Health Maintenance Organization Plans (HMO)
Health Maintenance Organization plans are a type of Medicare Advantage plan which provides the same services covered under Medicare Part A and Part B. In HMO plans, the medical services provided are limited to in-network healthcare providers. This means if you receive medical care from an out-of-network provider, you will cover the out-of-pocket costs for that service. HMO plans have a list of approved healthcare providers from which you can choose. You will most likely be expected to choose a primary care doctor from one of these networks and get referrals when you need to see a specialist.
HMO plans cover medical services such as home healthcare services, skilled nursing facility care, hospice care, and hospital insurance. HMO plans also cover Part B services such as durable medical equipment, preventive screenings, and outpatient medical procedures. Like many other Part C plans, most HMO plans offer prescription drug coverage, routine dental and vision coverage, and other benefits like fitness memberships.
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