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What’s a Medicare Advantage Plan?

Revised April 2015 What s a Medicare Advantage Plan? You can get your Medicare benefits through Original Medicare , or a Medicare Advantage Plan (like an HMO or PPO). If you have Original Medicare , the government pays for Medicare benefits when you get them. Medicare Advantage Plans, sometimes called part C or MA Plans, are offered by private companies approved by Medicare . Medicare pays these companies to cover your Medicare you join a Medicare Advantage Plan, the plan will provide all of your Medicare part A (Hospital Insurance) and Medicare part B (Medical Insurance) coverage. This is different than a Medicare Supplement Insurance (Medigap) policy (discussed on page 3). What do I need to know about Medicare Advantage Plans?There are the different types of Medicare Advantage Plans: Health Maintenance Organization (HMO) plans In most HMOs, you can only go to doctors, other health care providers, or hospitals in the plan s network, except in an urgent or emergency situation.

Most Medicare Advantage Plans include Medicare prescription drug coverage (Part D). In addition to your Part B premium, you usually pay one monthly premium for the plan’s medical and prescription drug coverage. Plan benefits can change from year to year. Make sure you understand how a plan works before you join.

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www.medicare.gov

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