Medicare Part C

Medicare Advantage

Medicare Advantage (Part C) Offers an Alternative to Basic Medicare

Medicare Part C is made up of several aspects. Keep in mind that some plans require you to use certain provider networks. These plans are available from private insurance companies that have been approved by the Medicare program, and your choices are based on where you live. The Medicare Advantage plan cost and coverage types and amounts vary. You must enroll in Medicare Part A and Part B to qualify for Medicare Part C coverage.
Medicare Health Plans West Orange NJ

Every Medicare Advantage insurance plan covers:

  • All Part A benefits except hospice care, which is covered by Part A itself
  • All Part B benefits

Some Medicare Advantage health insurance plans cover:

  • Prescription medications
  • Other health benefits like:
    • Eye exams, along with corrective lenses and eyeglasses
    • Dental cleanings, exams, and x-rays
    • Wellness programs, fitness memberships, and worldwide emergency coverage
    • Rides to appointments and necessary home safety devices
    • Hearing tests and hearing aids

2021 Medicare Advantage Plan Costs

  • Your plan premiums will vary based on many factors and can change each year.
  • You must continue to pay Medicare Part B premiums

Your Deductible

  • Some plans will have a deductible, while others will not.
  • Some plans only charge a deductible for prescription medications.
  • The amount of the deductible varies by plan.

Your Copays

  • You will likely pay a copay for doctor’s visits, prescriptions, and other services.
  • The amount you pay varies by plan.


  • Review your plan for coinsurance terms required for certain services.
  • You may incur costs during any Part D coverage gap.
Medicare Plan Insurance Agency West Orange NJ

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.