Medicare Part C

Medicare Part C is known as Medicare Advantage (MA). An MA plan is administered by private insurers contracted with the federal government. This means you do not enroll at the Social Security office. Talk to Turning 65 Solutions about enrollment.

What Medicare Advantage Covers

You are still enrolled in Original Medicare under Medicare Part C. But, Medicare Advantage Plans can offer benefits that Original Medicare does not cover, like:

    • Housekeeping
    • Vision coverage
    • Dental coverage
    • Prescription drug coverage
    • Caregiver counseling and training

Medicare Part C Cost

Some Medicare Advantage plans have no premiums. But this does mean free. 

Medicare pays a monthly amount to the insurer to provide your care. This is how premiums can be at zero cost to you. Ron Ray is a Medicare Part C specialist, so talk to him to see which plans you can qualify for. 

Medicare Part C Enrollment Periods

You can enroll in an MA plan when you initially get Medicare Part B. You can also enroll during the annual election period every fall, from October 15 to December 7. Your benefits start on January 1. 

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Who Is Eligible for Medicare Part C?

All Medicare beneficiaries are eligible for a Medicare Advantage plan. You can buy an MA plan as long as you are enrolled in both Medicare Parts A and B. Also, you cannot drop Part B, or you will lose Medicare Part C coverage. 

If you have End-Stage Renal Disease, you are not eligible for Part C. But this is the only health question you will need to answer on the Part C application.

What Will You Pay Out-of-Pocket for Medicare Advantage?

Every Medicare Advantage plan is obligated to have an out-of-pocket maximum. This amount is determined by Medicare annually. This number is currently at $6,700. However, each plan varies and you will see that many plans establish a lower maximum.

This is important because Original Medicare does not have an out-of-pocket maximum. You must pay 20% of your services continuously. 

For all of your Medicare Advantage questions, call our Texas office at 830-217-6711.