Medicare Advantage Plans
MEDICARE COVERAGE PLANS
Medicare Advantage Part C plans were established by Congress to enhance the quality of health care and reduce costs to the Medicare program by collaborating with private insurance companies. Medicare Part C replaces Part A and Part B of Medicare with lower premiums and most include additional benefits for Prescription Drug Coverage Dental, Vision, Hearing, and an Out-of-Pocket annual maximum.
Over time, Medicare Advantage has become increasingly popular for a few reasons – the provision for additional benefits, prescription drug coverage, and lower monthly premiums. Plan members have access to HMO and PPO networks for both local and nationwide provider networks.
Medicare Star Rating System
Medicare Advantage plans vary in costs and coverage. Every January, plans may change their coverage and costs for the new year. So, it’s important to review your plan’s coverage each fall and compare it to other plans in your area.
Consider a plan’s costs, coverage, drug coverage, and the in-network pharmacies to see if it meets your current needs. Then, you can use the plan’s star rating system to aid you in your decision.
Medicare uses a Star Rating System to measure how Medicare Advantage plans perform, yearly, in five categories:
- Screening, tests, and vaccines
- Managing long-term conditions
- Plan responsiveness and care
- Member complaints and problems
- Customer service
The ratings range from one to five stars — one is the lowest and five is the highest. Plans are rated in each category, and Medicare gives one OVERALL star rating to recap the plan’s performance. You can use the overall star rating to compare how well many different plans perform to get the best coverage for you.
Note: If a 5-star Medicare plan is available in your area, you will have a one-time opportunity to change plans anytime during the year! This special enrollment period will begin on December 8 and run through November 30. The new coverage will start on the 1st of the following month.
Prescription Drug Coverage
Most Medicare Advantage Plans come with Prescription Drug Coverage included.
Original Medicare Part A, Part B, with or without Medicare Supplements can choose from several stand-alone Part D Prescription Drug Plans to complete their coverage.
Get One-on-One Attention – at no cost to you!
Senior Plans Agents will review your doctors, specialists, hospitals, and prescriptions to help you find the plan best suited for your specific needs. We want to help you get the most out of your Medicare Benefits.
Call to schedule your FREE Help with one of our Licensed and Certified Medicare Agents today!
We Tailor Plans Specifically for You
Senior Plans Enrollment Center can tailor plans to suit your needs. This means besides making sure that you can see your doctors, specialists, and hospitals, we also want you to pay the least for your prescriptions. Many Medicare Advantage Plans include prescription drug coverage, but not all of them will cover the prescriptions you take, nor will they charge the same amounts for those drugs. As part of your FREE service, we’ll find the best ways to cover your drugs because this can save you hundreds if not thousands of dollars each year.
Common types of plans
The right choice for you may depend on many factors, including where you live and what side of the spectrum you’re on — Medicare through disability, turning 65 or new to Medicare, or having Traditional Medicare with a Medicare Supplement that’s just getting too expensive. Everyone’s health and financial situation is different, so there’s no one-size-fits-all approach in the Medicare landscape.