Medicare Advantage

Medicare Advantage – Medicare Part C

A Medicare Advantage (MA) plan is an alternative to Original fee-for-service Medicare. Medicare pays MA plans to manage beneficiaries’ health care. Currently, 3 types of MA plans exist. This section includes information on these plans, questions to consider when choosing a plan and special rights if your plan terminates coverage.

In this section:

1. Overview of Medicare Advantage Plans

   Learn about MA plans (HMOs, PPOs and SNPs), how they work and who’s eligible to join.

2. Costs & Benefits of Medicare Advantage Plans

   Explanation of payments and services.

3. Enrollment & Disenrollment in Medicare Advantage Plans

   Requirements for joining, switching and leaving MA plans.

4. Choosing a Medicare Advantage Plan

   Questions to consider when choosing an MA plan, as well as specific factors to consider when choosing between an MA plan and a Medigap policy.

5. When Medicare Advantage Plans Terminate Coverage

   Learn your rights and options if your MA plan terminates coverage; additional information for beneficiaries with disabilities, ESRD or employer-sponsored coverage.

6. When You Have Guaranteed-Issue Rights to Switch from a Medicare Advantage Plan to a Medigap Policy

   Learn about situations in which you can buy a Medigap policy without a health screening.

7. Resources

   Resources and information related to MA plans.