What Does Medicare Advantage Cover?

Medicare Advantage plans are a comprehensive alternative to Original Medicare, offering coverage for all services covered by Original Medicare, except for hospice care. These plans are offered by private insurance companies that contract with Medicare to provide Part A and Part B benefits, and sometimes Part D (prescription drugs). With Medicare Advantage plans, you're always covered for emergency and urgent care, and you may also be able to access additional health-related benefits such as gym memberships, medical transportation, and meal delivery. However, these plans may have more out-of-pocket costs than Original Medicare, and they may also have a limited network of health care providers.

When it comes to out-of-pocket costs, Medicare Advantage plans have an annual limit on their expenses for all Part A and Part B services. This limit is known as the out-of-pocket maximum (MOOP). Additionally, if you need out-of-town coverage, a Medicare Advantage plan may not help you cover these unexpected medical costs. If you're considering enrolling in a Medicare Advantage plan, it's important to understand what is and isn't covered.

All plans must cover all services covered by Original Medicare, except hospice care. However, the amount they pay may vary depending on your overall health condition. Additionally, some companies offer other health-related benefits in their Medicare Advantage plans. It's important to make sure your doctor's visit is covered before enrolling in a plan.

If you're eligible for Medicare before then, but haven't yet enrolled, you may be able to get Plan F or Plan C. Aetna offers three different Medicare Part D plans, with offers available throughout the United States. While some Medicare Advantage plans have more out-of-pocket costs, others will help you save on long-term medical costs. Overall, it's important to understand what is and isn't covered by a Medicare Advantage plan before enrolling in one.

While these plans can provide comprehensive coverage for many medical services, they may also have more out-of-pocket costs than Original Medicare and a limited network of health care providers.

Elise Woehl
Elise Woehl

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