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What Is Medicare Part C And What Does It Cover?

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About Medicare Part  

The same benefits of Medicare Parts A and B are included in Medicare Advantage plans, often known as Medicare Part C plans, along with additional coverage. If you require more than what Original Medicare offers, this is significant.

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What Does Medicare Part C Cover?

You have more access to regular healthcare under Medicare Advantage (Part C).

Plans under Medicare Advantage may include:

  • Dentures, exams, and routine dental care, including X-rays
  • eye care services, including contacts and spectacles
  • hearing aids and testing are all part of hearing care.
  • Memberships to fitness facilities and wellness initiatives

What Does Medicare Part C Cover Compared To Original Medicare?

Medicare Part C plans cover part A and Part B, and many also offer additional benefits not included in Original Medicare, such as Part D coverage for prescription drugs. Because of this, nearly 22 million of the 64 million people who applied for Medicare chose Medicare Advantage insurance. 1

Parts A and B of Original Medicare are included. Hospitalization, home care, and other inpatient medical requirements are covered in Part A. Outpatient treatment, including doctor visits, diagnostic procedures, screenings, and preventive care, is covered in Part B.

For their health needs, many people could require greater coverage. For instance, Original Medicare does not provide coverage for prescription medications. Private insurance companies offer Medicare Part D coverage, but even then, you might need protection in some areas of your healthcare. Plans under Medicare Part C fill that gap.

What Are Medicare Part C (Medicare Advantage) Costs?

Finding a Medicare Advantage plan that meets your budget is not too difficult. Medicare Part C deductibles, copays, and premium costs vary from state to state and from plan to plan. Anthem offers a variety of options, and it also offers low-income individuals money-saving programs.

Additionally, out-of-pocket expenses for Part C authorized services are capped by Medicare Advantage plans. When you reach the cap, the remainder of the year is free. One of the extra advantages of Medicare Part C is that.

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Should I Enroll In A Medicare Advantage Plan?

When you apply for Medicare, consider your coverage requirements. If Original Medicare isn’t enough, you might want to think about Medicare Part C; just be sure to weigh the advantages and disadvantages.

Pros of Medicare Part CCons of Medicare Part C

covers services that Original Medicare does not cover.

You might pay Medicare Part B and Medicare Part C premiums.

Most Medicare Part C plans provide coverage for prescription drugs (Part D)

Your healthcare provider network can be more limited.

limits one’s out-of-pocket costs

Cannot be utilized with Medicare Supplemental Insurance provided by employers.

Here are some important inquiries to consider if you choose to look into Medicare Advantage plan options:

Are your chosen medical facilities or medical professionals covered by a Medicare Advantage plan?

It’s crucial to confirm that your primary care physician is still covered by the plan after initial enrollment because providers occasionally change. Simply inquire when you visit the doctor.

What medicines on prescription are covered?

You may check which medications are covered by the plan using our find-a-drug feature.

If you require medication, you can determine whether it is possible and cost-effective to do so under the chosen plan.

What are the most expensive out-of-pocket expenses?

To choose a plan that meets your needs, balance your budget and coverage demands. It may be advisable to have a lesser out-of-pocket maximum so that you may rest easy knowing that you are covered for unforeseen illnesses or injuries.

How To Enroll In A Medicare Part C Plan?

During the Initial Enrollment Period, you can select a Medicare Advantage plan if you are applying for Medicare for the first time (IEP). This seven-month span contains the following:

  • three months before turning 65
  • The month of your 65th birthday
  • following your 65th birthday, three months

If you already have Original Medicare, you can switch to a Medicare Advantage (Part C) plan between October 15 and December 7 during the Medicare Annual Enrollment Period (AEP). During this time, if you’re currently enrolled in a Medicare Advantage plan, you can change to a different one.

During the Medicare Advantage Open Enrollment Period, which runs from January 1 to March 31, you also have the option of switching your Medicare Advantage plan.

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What Is The Difference Between Medicare Part C And Part D?

When paired with Part D, Medicare Part C offers additional coverage for routine medical care, including some plans’ coverage of prescription drugs. When a Part C and Part D plan are merged, it is known as a Medicare Advantage prescription drug (MAPD) plan.

Only prescription medications are covered by Medicare Part D. The greatest option is Medicare Part D if you have Original Medicare and only require a prescription drug plan. Medicare Part C plans offer more options when you need more coverage for prescription medicines, dental work, or vision care.

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