The Medicare Advantage Program

 

Medicare Part C is commonly called the Medicare Advantage program. It is optional private insurance that you may join that will pay instead of original Medicare on your behalf.

The Centers for Medicare and Medicaid Services, or CMS, enters into contracts annually with private insurance companies that agree to provide Medicare Part A & B services for Medicare beneficiaries that enroll in these plans. The insurance company is then paid a monthly premium by Medicare to provide your healthcare services.

It is important to understand that Medicare Advantage plans are NOT the same as Medicare supplements. They are different.

Medicare Part C plans today are often based on HMO or PPO networks of healthcare providers. Most insurance companies will charge you a monthly premium to be a member of these plans, but in some counties there are still $0 premium plans available. In addition to any Part C premium that you pay, you will also be responsible for some cost-sharing by you in the form of copays and coinsurance. when ever you access care.

You must be careful to review your coverage each year because the plan’s benefits, formulary, pharmacy network, provider network, premium and/or co-payments and co-insurance may change on January 1 of each year.

Learn more about Texas Medicare Part C.

For free assistance choosing a suitable Texas Medicare Advantage insurance plan for yourself or a loved one, call us toll free or get online help with  Texas Medicare Advantage plans .