What is a Medicare Advantage?
Medicare Advantage, also known as Medicare Part C, is a plan provided by private insurance companies with the help from subsidies provided by the government so that the insurance company can design network based plans at a low premium.
These plans are normally designed with copays and coinsurance throughout the plans as a form of cost share that the client would assume when joining one of these plans. Most plans will include additional benefits not included in Original Medicare at no additional cost to you.
So let's take a closer look at Medicare Avantage Plans.
Medicare Advantage Upside:
It’s convenient to have a single plan for everything
The plan covers everything traditional Medicare covers (hospital insurance and medical insurance) as well as emergency and urgent care
Explore plans that may include extra support for your health and lifestyle needs.
Most plans also include prescription drug coverage
Your eligibility isn’t affected by health or financial status
Premiums are low
Medicare Advantage Down Side:
You’re restricted to certain doctors in your network (unless it’s an emergency)
Plan premiums can change from year to year
Difficult to switch to Medigap later on
Plan benefits can change from year to year
You’re subject to deductibles and co-pays
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Navigating Medicare can feel overwhelming — especially when you're comparing doctor networks, prescription coverage, and plan benefits. While Medicare.gov and SHIP are trusted public resources, they provide general guidance and do not offer personalized plan recommendations.
As licensed Medicare agents, we complete over 40 hours of annual training and certification to help you understand the plan options we offer. We take the time to match your needs with plans that align with your healthcare providers, medications, and budget — right here in your community.