Medicare Advantage plans also known as Part C, are offered by private companies approved by Medicare. Medicare Advantage plans pay a fixed fee for your client's care at doctors and hospitals within the plan's network. Prescription drug coverage can be added to Medicare Advantage plans.
Your clients can choose two ways of receiving their Medicare benefits. They can receive their benefits directly through original Medicare with options for additional insurance, like a supplement, or they can choose a Medicare Advantage Plan (Part C) that combines their benefits. Either way, they must have Medicare Part A and Part B.
Two Ways to Get Medicare
Operated by the Federal government. Medicare pays fees for your care directly to your doctors/providers.
Pays for part of your hospital costs.
Pays for your doctor and outpatient care.
Part D (+ Medicare Supplement)
Stand-alone prescription drug plans can be added to help with the cost of prescription drugs.
Medicare Advantage (Part C)
Plans are private health plans that contract with Medicare.
Medicare pays a fixed fee to the plan for your care at the doctor and hospital. The plan pays the doctor and hospital directly.
Prescription drug coverage can be part of these plans. A PFFS plan is the only plan that can add drug coverage (separate) to the plan.
Often included, such as dental and vision, and nurse help lines. Most plans have a cap on out of pocket expenses.