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Medicare Advantage Plans (Part C) Basics
Medicare Advantage Plans are offered by private insurance companies and provide all of your Part A and Part B benefits (some also include prescription coverage)
About Medicare Advantage Plans (Part C)
Medicare Advantage Insurance Plans are offered by private
insurance companies and are approved by the Federal Government.
They cover the same benefits as Part A (hospital insurance) and
Part B (doctor visits). Some also offer other benefits that
Original Medicare doesn’t cover like vision, dental and
prescription drugs, even gym memberships and may also offer
additional benefits like transportation to and from your
doctor’s office. These plans typically use HMO, PPO or PFFS
networks. These networks change every year, and can impact which
doctors accept your plan. Your SmartMatch licensed insurance
agent will make sure you understand a plan’s network and
coverage rules before you enroll.
Medicare Advantage Networks
Medicare Advantage Plans typically use HMO, PPO or PFFS
networks. Below is the list of the Medicare Advantage Networks,
and how they work.
- HMO — Health Maintenance Organizations have a specific network of select physicians and might require a referral from a primary care physician before a patient can see a specialist. HMOs also provide additional benefits like coverage for deductibles and more.
- PPO — A preferred provider organization allows customers to save money when they use a physician inside the plan's network. Customers are still able to see doctors outside the network, but might have to pay a higher cost.
- PFFS — Private Fee-For-Service plans work similarly to that of Original Medicare, but the plan determines how much it will pay the physician or facility and how much the patient will pay out-of-pocket.
- HMOPOS— A HMO “Point-of-Service" plan operates like a HMO but allows for some services to be covered by an out-of-network physician often for a higher copayment or coinsurance.
- MSA— A Medical Savings Account plan combines a high-deductible plan with a bank account where money is deposited by the plan to be used for health care services.
Medicare Advantage Enrollment periods
Initial Coverage Election Period (ICEP)
The Initial Coverage Election Period (ICEP) is the seven-month window starting three months before you're first eligible for Medicare Part A and B. For most adults, the ICEP starts three months before the month they turn 65. During this time you can sign up for any Medicare Advantage plan that suits your needs.
Medicare Advantage Annual Election Period (AEP)
The Medicare Advantage Annual Election Period (AEP) is when Medicare beneficiaries can add, change or drop their Medicare Part D or Medicare Advantage Part C plan coverage for the next year. The AEP starts on October 15th and continues through December 7th of each year with coverage or plan changes taking effect on January 1st of the new year. Outside of this time, most people will only have a limited opportunity to change their Medicare Advantage plan coverage throughout the year.
The Medicare Advantage Open Enrollment Period (OEP)
The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 annually and allows those who are enrolled in a Medicare Advantage Plan to make a one-time change. You can either move to another Medicare Advantage Plan or disenroll from your Medicare Advantage plan and return to Original Medicare and purchase a Medicare Supplement Plan. Note, if you leave a Medicare Advantage Plan and return to Original Medicare, you may be required to answer health questions in order to qualify and obtain a Medicare Supplement Insurance Plan.
Your SmartMatch licensed insurance agent will make sure you understand a plan’s network and coverage rules before you enroll.
The Initial Coverage Election Period (ICEP) is the seven-month window starting three months before you're first eligible for Medicare Part A and B. For most adults, the ICEP starts three months before the month they turn 65. During this time you can sign up for any Medicare Advantage plan that suits your needs.
Medicare Advantage Annual Election Period (AEP)
The Medicare Advantage Annual Election Period (AEP) is when Medicare beneficiaries can add, change or drop their Medicare Part D or Medicare Advantage Part C plan coverage for the next year. The AEP starts on October 15th and continues through December 7th of each year with coverage or plan changes taking effect on January 1st of the new year. Outside of this time, most people will only have a limited opportunity to change their Medicare Advantage plan coverage throughout the year.
The Medicare Advantage Open Enrollment Period (OEP)
The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 annually and allows those who are enrolled in a Medicare Advantage Plan to make a one-time change. You can either move to another Medicare Advantage Plan or disenroll from your Medicare Advantage plan and return to Original Medicare and purchase a Medicare Supplement Plan. Note, if you leave a Medicare Advantage Plan and return to Original Medicare, you may be required to answer health questions in order to qualify and obtain a Medicare Supplement Insurance Plan.
Your SmartMatch licensed insurance agent will make sure you understand a plan’s network and coverage rules before you enroll.
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SmartMatch Insurance Agency, LLC
Corporate Office:
120 W. 12th St.
Suite 1700
Kansas City, Missouri 64105
Business Hours:
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120 W. 12th St.
Suite 1700
Kansas City, Missouri 64105
Business Hours:
Monday – Friday 7:30am – 5pm CT
Copyright © 2020 SmartMatch Insurance Agency, LLC. All rights
reserved.
Privacy Policy |
Terms & Conditions
The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. PLEASE NOTE: Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.
(MULTIPLAN_GHHKTPCEN_2021)
The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. PLEASE NOTE: Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.
(MULTIPLAN_GHHKTPCEN_2021)
Copyright © 2020 SmartMatch Insurance Agency, LLC.
All rights reserved. Privacy Policy | Terms & Conditions
The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. PLEASE NOTE: Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.
(MULTIPLAN_GHHKTPCEN_2021)
All rights reserved. Privacy Policy | Terms & Conditions
The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. PLEASE NOTE: Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.
(MULTIPLAN_GHHKTPCEN_2021)
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