Medicare Advantage
Medicare Advantage plans are an alternative way to receive your Medicare Part A and Part B benefits through a Medicare-approved private plan. These plans often include additional benefits and may include prescription drug coverage. Understanding how they differ from Original Medicare helps you compare what matters to you.
Who might want to learn about this
- People who want an all-in-one plan that bundles hospital, medical, and often drug coverage.
- Those interested in extra benefits that Original Medicare doesn’t cover, such as dental, vision, or wellness programs.
- People who are comfortable receiving care within a plan’s provider network.
- Those who prefer predictable, set costs for services and copays.
Important factors to compare
Benefits and coverage
Compare what each plan covers beyond standard Medicare benefits, including any extra benefits offered.
Provider networks
Check whether your preferred doctors and hospitals are included in the plan’s network.
Prescription drug coverage
Many Medicare Advantage plans include Part D drug coverage. Review the plan’s formulary if you take medications.
Out-of-pocket costs
Consider premiums, deductibles, copays, and the plan’s maximum out-of-pocket limit.
Plan ratings
Medicare star ratings can offer a general sense of a plan’s quality and performance.
Common questions
Is Medicare Advantage the same as Original Medicare?
No. Original Medicare is administered directly by the federal government. Medicare Advantage plans are offered by private companies approved by Medicare and provide Part A and Part B benefits, often with additional coverage.
Can I keep my doctor under a Medicare Advantage plan?
It depends on whether your doctor participates in the plan’s network. Checking provider networks before enrolling is an important step.
Do Medicare Advantage plans include prescription drug coverage?
Many do, but not all. If a plan includes drug coverage, review its formulary to confirm your medications are covered.
Plan availability, benefits, premiums, provider networks, prescription coverage, eligibility, and enrollment rules vary. Information on this website is for general educational purposes and is not a substitute for reviewing official plan documents or individualized guidance. Nothing on this website guarantees coverage, eligibility, or savings.
Have questions about this coverage?
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