Medicare Advantage Plans 2016

Medigap Health Insurance Plans 2016

A Medicare Advantage Plan is a Medicare health plan offered by private insurance companies that get contracts with CMS/Medicare to provide seniors with all their Part A and Part B Medicare benefits.

Make your plan selections EARLY – before the end of 2015 to ensure you have the drug and health coverage you need on January 1, 2016. And shop around using the form above.

Medicare Advantage Plan (Part C)

A type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Medicare Part A and Part B benefits. Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee‑for‑Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans. If you’re enrolled in a Medicare Advantage Plan, Medicare services are covered through the plan and aren’t paid for under Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage.

People can join any Medicare Advantage plan (such as an HMO, PPO or PFFS) in the county they live in. Medicare Advantage plans are also known as Medicare private plans. In advance of joining any insurance plan, you should ensure your doctor accepts the plan and that any doctors you want to see takes in new patients covered by that plan.

Medicare Advantage Plans include Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Private Fee-for-Service Plans (PFFS), Special Needs Plans, and Medicare Medical Savings Account Plans. For people enrolled in a Medicare Advantage Plan their Medicare services are covered through the plan and are not paid for under Original Medicare. For the most part,  Advantage Plans offer prescription drug coverage. Medicare Advantage Plans cover all Medicare services and may also offer extra coverage.

Suppose you are not happy with your Medicare Advantage plan, you can dis-enroll from that plan and join Original Medicare during the Medicare Advantage Disenrollment Period (MADP).

The MADP is each year from January 1 to February 14.

People over 65 can join a Medicare Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Private Fee-for-Service (PFFS), or Medicare Medical Savings Account (MSA) Plan if you meet all of the following conditions:

• You live in the service area of the plan you want to join. The plan can give you more information about its service area. If you live in another state for part of the year, check to see if the plan will cover you there.
• You have Medicare Part A and Part B.

Medicare Advantage Plans works like this:

Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies that must be approved by Medicare. If you join a Medicare Advantage Plan, you still have Medicare. You will get Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan and not Original Medicare.

If you’re already in a Medicare Advantage Plan and want to switch – do this:

• If you want to switch your Medicare Advantage Plan –  shop around for the best deal on plan premiums and choose a plan that’s best for your needs. You will be dis-enrolled automatically from your old plan when your new plan coverage starts.
• If you want to change to Original Medicare, make contact with your current plan, or call 1-800-MEDICARE.
• If you do not have other drug coverage, you should consider Medicare prescription drug coverage (Part D). In addition to a Medicare Supplement Insurance (Medigap) policy. You may only be allowed to switch at certain times of the year.

Many insurance companies offer Medicare Advantage Plans. For example:

Insurance companies that sell Medigap policies don’t have to offer every Medigap plan. However, they must offer Medigap Plan A if they offer any Medigap policy. If they offer any plan in addition to Plan A, they must also offer Plan C or Plan F. Each insurance company decides which Medigap plan it wants to sell, although state laws might affect which ones they offer.In some cases, an insurance company must sell you a Medigap policy, even if you have health problems. Here are certain times that you’re guaranteed the right to buy a Medigap policy:

•    When you’re in your Medigap Open Enrollment Period

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