Making Medicare Easy

Part C (Medicare Advantage)

What is Medicare Part C?

 
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Medicare Part C, more commonly known as Medicare Advantage, are private health plans that have contracts with Medicare. When you join one, you get your Medicare-covered healthcare services through the private plan.

  • Medicare Part C plans must cover all the same things as Medicare Part A and B. They also may cover services that Original Medicare does not pay for. Examples are eye exams, a pair of eyeglasses each year or a hearing exam. They may charge different amounts than you would pay through Original Medicare.

  • Medicare Advantage plans may also cover prescription drugs. If they do, you cannot buy a separate Medicare prescription drug plan.

  • With Medicare Part C plans, you generally must use certain providers. These are doctors, hospitals, drug stores and other healthcare providers that the plans have contracts with. These are called in-network providers. If you use providers outside your plan’s network, it may cost you more money. It also may mean you get no Medicare coverage at all for that service.

  • You must have Medicare Parts A and B to join a Medicare Advantage plan. You pay your usual Part B premium plus any additional premium that the plan may charge.