Not affiliated or endorsed by any government agency, this is an insurance agency. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. | Please contact Medicare.gov or 1-800-Medicare to get information on all of your options.

Medicare Advantage Plans

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What are Medicare Advantage Plans?

Medicare Advantage Plans are a Medicare health plan sold by a private insurer that contracts with Medicare. Original Medicare, which includes Part A and Part B, is the traditional program offered through the federal government.

In other words, Medical Advantage Plans are like Part A and Part B except private companies offer the policy instead of the federal government.

Medical Advantage Plans are also known as Medicare Part C or private health plans. Like Original Medicare, you’ll pay a monthly premium and whatever your cost is based on the plan.

Medicare Advantage Plans

What are the differences between Original Medicare and Medicare Advantage Plans?

The biggest difference is that different entities offer the plan. The federal government offers Medicare Part A and B. Private companies offer Medicare Advantage Plans.

Here are the differences:

Original Medicare Medicare Advantage
Costs Monthly premium and 20% coinsurance after meeting the deductible. Monthly premium and typically copayment for in-network care.
Supplemental insurance Can enroll in Medigap to cover what Original Medicare does not cover and it requires paying a monthly premium Cannot enroll in Medigap
Provider options See providers that accept Medicare See in-network providers
Out-of-pocket limit None An annual limit in which plan pays full the cost of care after reaching the limit
Referrals Do not need referrals for specialist Usually, need referrals for specialists
Drug coverage Sign up for a separate prescription drug plan Most include prescription drug coverage, but may increase premium
Others Does not include dental, vision, or hearing Some cover dental, vision, and / or hearing, but may increase premium

How Can Medicare4USA Help?

Choosing the right Medicare Advantage plan can be a confusing process, especially with the wide variety of plans and options available in the Dallas-Fort Worth area. Medicare4USA is here to simplify the process and help you find the perfect plan to meet your unique healthcare needs and budget.

Here are some of the ways we can assist you:

  • Understanding Medicare Advantage:We explain the basics of Medicare Advantage, including how it differs from Original Medicare, the types of plans available (HMO, PPO, etc.), and the costs involved. We answer your questions in plain language, avoiding confusing jargon and technical terms.
  • Comparing Plans:We help you compare different Medicare Advantage plans side-by-side, considering factors like your healthcare needs, budget, preferred doctors and hospitals, and desired extra benefits. We provide unbiased guidance to help you find the plan that best aligns with your individual circumstances.
  • Finding the Right Fit:We take the time to get to know you and your healthcare needs, so we can recommend plans that offer the coverage and benefits that are most important to you. Whether you’re looking for a plan with comprehensive dental, vision, and hearing coverage, or one that offers wellness programs and fitness benefits, we can help you find the perfect fit.
  • Navigating Enrollment:We guide you through the Medicare Advantage enrollment process, ensuring you understand the deadlines and avoid any penalties. We also help you determine your eligibility for different plans and make sure you have the necessary documentation to enroll.
  • Maximizing Your Benefits:We help you understand how to maximize your Medicare Advantage benefits, e.g., accessing preventive care services, utilizing telehealth options, and coordinating care with specialists. We also answer any questions you have about your coverage and help you resolve any issues that may arise.

Contact us today for a free consultation and let us help you find the right Medicare Advantage plan for your needs and budget.

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