Medicare Part C is also known as Medicare Advantage plans. It allows you to obtain your Initial Medicare benefits from outside Medicare organization but approved by Medicare.
If you opted to register in one of these plans, the government will no longer provide you the Medicare benefits. Instead, they will come through a private insurer where you obtained your Medicare Part C.
In this post, let us talk about how Medicare Part C 2020 works and how you can benefit from it. We hope that after reading this post, you will have a better understanding of the right policy that you can obtain.
Part C Advantages
When you choose to sign up for Medicare Part C, you will not lose your Initial Medicare benefits. What it does is that it replaces some aspects where you obtain the majority of your Medicare benefits.
That is, your Medicare Part A (excluding Part A hospice care) and Part B will go to your new insurance provider, instead of receiving it from Medicare itself.
Apart from that, all emergency medical services are covered. These would include ambulance transport and ambulance care. ER visits and lifesaving treatment are also part of it.
Those services mentioned are all expensive. And if you put them all under Medicare Part C plan, then you get a great deal as it can help you save a significant amount of money per year.
For urgently needed care, Part C plan has you covered. What this needed care cover will depend on your situation. In some cases, it may include surgeries or medical test.
In other cases, it will cover prescription drugs and routine check-ups. It may also cover prescription items, like hearing aids and glasses.
Part C Limits
Medicare Advantage plans are beneficial. They can pay for the medical expenses that other plans cannot.
But no matter how powerful they are, these plans have some restrictions. For one, you can only take advantage of the savings by going to the network’s plan. Once you receive the care outside that network, then you will not get the full coverage from your Advantage plan.
HMO is a popular Advantage plan network. Several insurers offer this plan and you will find it listed as part of the plan’s name. For example, your policy could be AARP Medicare Advantage HMO. The HMO indicates that you will only obtain full coverage if you receive treatment within the AARP network.
If you choose to receive treatment or visit a hospital or doctor outside the network, then the medical expenses associated with it will not be covered in this plan.
In addition to HMO, another popular option is PPO. It is perfect if you wish to obtain treatment outside the network. But you can only get full coverage if you choose to use healthcare treatment within the network.
This plan will get you more coverage than the HMO plan. However, this Medicare Part C 2020 option entails a higher monthly premium.
When you need to choose among the Medicare Advantage plans, you should consider the network. The insurance company determines the network of clinics, facilities, hospitals, and doctors.
If your plan is not honored at a specific medical facility, then it simply means that such a facility is not part of your Part C network plan.
You can qualify for HMO and PPO plans if you have met the requirements of the Medicare Part C plan. It is important to note that they are not the only options you have. But they are the most common and popular.
Part C Enrollment
To enroll in Medicare Part C plan, you must have original Medicare. You must also be at least 65 years old and a US citizen or a permanent resident of this country for 5 years.
Before you sign up for this plan, make sure that it does not conflict with your other medical coverage. For example, having a Medicare supplement or a coverage plan for your union, then you will have to eliminate the other plan so you can begin receiving the coverage from this policy.
Although you can still sign up for Part C policy while you have an overlapping plan, your coverage will only start until you eliminate the other policy. In other words, it will not double your benefits.
This requirement also applies to Medicare Part D. Most Advantage plans have Part D coverage. If you have Part D prescription drug plan, you must get rid of it. If not, opt for another Part C plan. It is not allowed to obtain two variations of Part D at the same time. The government or your insurance company will not allow overlapping coverage.
Our site can help you compare the rates of Medicare Part C 2020. The use of our free tool will help you determine whether or not such plan is ideal for your case. By getting several quotes, you can pick which insurer and plan offer the best coverage. If you need further assistance on how to choose the right plan, contact us today to get advice.
Compare Medicare Advantage for 2020