Medicare Part C

Medicare Advantage

Medicare Advantage (Part C) is another way to get your Medicare benefits.

There are different types of Part C plans. Some plans have provider networks you need to use.

Plans are offered by private insurance companies approved by Medicare. Your choices vary depending on where you live. Coverage and costs beyond the standards set by Medicare vary from plan to plan.

You must be enrolled in both Part A and Part B to be eligible for a Part C plan.

All Medicare Advantage plans cover:

  • All the benefits of Part A (except hospice care, which is still covered by Part A)
  • All the benefits of Part B

Most Medicare Advantage plans cover:

  • Prescription drugs

Medicare Advantage plans may offer additional benefits, such as:

  • Dental exams, cleanings and X-rays
  • Eye exams, eyeglasses and corrective lenses
  • Hearing tests and hearing aids
  • Wellness programs, fitness membership and worldwide emergency coverage
  • Extras like rides to appointments and home safety devices

Medicare Part C costs in 2021 Premium

  • Plan premiums vary widely and can change from year to year.
  • You continue to pay your Part B premium to Medicare.

Deductible

  • Some plans have deductibles, and others don’t.
  • Plans may charge deductibles for drug benefits only.
  • Amounts vary from plan to plan.

Copay

  • Many plans charge copays for doctor visits, prescriptions, etc.
  • Amounts vary from plan to plan.

Coinsurance

  • Plans may set coinsurance terms for certain services.
  • Costs during the Part D coverage gap may apply.

Medicare Advantage plans put a cap on your out-of-pocket costs for Part A and B services covered by the plan.
This offers financial protection.
The maximum out-of-pocket cost varies per year, but plans may set lower limits.
There is no limit with Original Medicare.