Medicare Advantage
What Is Medicare Advantage
Medicare Advantage, also known as Medicare Part C, is a private insurance alternative to Original Medicare (Parts A and B). These plans are offered by Medicare-approved insurers and must provide at least the same coverage as Original Medicare, but many include extra benefits like vision, dental, hearing, and wellness programs. Most Medicare Advantage plans also include prescription drug coverage (Part D).
There are different types of Medicare Advantage plans, including HMOs, PPOs, PFFS, and SNPs, each with different provider networks and cost structures. Some plans require members to use in-network doctors and get referrals for specialists, while others offer more flexibility in choosing healthcare providers. These plans often have lower premiums than Medigap, but members may face copays, deductibles, and network restrictions.
A key benefit of Medicare Advantage is the financial protection it offers through an annual out-of-pocket maximum, limiting how much beneficiaries spend on covered services each year. However, costs, coverage, and provider access vary by plan and location, making it important for beneficiaries to compare options based on their specific healthcare needs.
What plans are available in my area?
Medicare Advantage plans vary by location and are offered by private insurance companies approved by Medicare. To find available plans in your area, you can use the Medicare Plan Finder on Medicare.gov or work with a licensed insurance agent. Plan options may include HMO, PPO, PFFS, and SNPs, each with different networks, costs, and benefits.
How do I know which plan to choose?
To choose the right Medicare Advantage plan, compare costs, provider networks, drug coverage, and extra benefits like dental or vision. Consider whether you prefer an HMO or PPO. Using the Medicare Plan Finder or speaking with a licensed agent can help you find a plan that fits your needs and budget.
What is the difference between PPO & HMO?
A PPO (Preferred Provider Organization) plan offers more flexibility, allowing you to see any doctor or specialist without a referral, but it usually has higher premiums and out-of-network costs. An HMO (Health Maintenance Organization) plan typically has lower costs but requires you to use a network of doctors and get referrals for specialists. If you prefer lower costs and don’t mind a network, an HMO may work for you, while a PPO may work for you if you want more provider flexibility.
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Contact Info
Oregon Medicare Help & United Financial NW
Office - (541) 388-1708
Matthew : [email protected]
Jakob : [email protected]
424 NE Kearney Ave. Bend, OR 97701
We are not connected with or endorsed by the United States government or the federal Medicare program. We do not offer every plan available in your area, and any information we provide is limited to those plans we do offer in your area. Currently we represent 3 organizations which offer 13 plans in your area. Please get in touch with Medicare.gov or 1-800-MEDICARE, or your local State Health Insurance Program to get information on all your options.
Matthew Hoffman & Jakob Katchem are not connected to the Federal Medicare Program. This is a solicitation for insurance