What are the two types of medicare plans?

After paying a deductible, Medicare pays its share of the Medicare-approved amount and you pay your share (coinsurance and deductibles). Original Medicare (Part A %26 B) and Medicare Advantage (Part C) are two different ways to get Medicare benefits. Both options offer the same basic level of hospital and medical insurance, but there are also important differences between them. Medicare prescription drug plans Learn more about medicare advantage plans Medicare supplement insurance plans, also known as Medigap plans, help pay for some of the out-of-pocket costs not paid by Original Medicare (Part A %26 B).

Learn more about Medicare prescription drug plans Special needs plans are Medicare Advantage plans designed for specific needs that include prescription drug coverage. Plans may also include other benefits, such as care coordination. There are four types of special needs plans, including dual special needs plans for people with Medicare and Medicaid. Learn More About Special Needs Plans supports Medicare Supplement Insurance Plans.

Medicare Advantage plans and Medicare prescription drug plans are insured through a Medicare Advantage organization with a Medicare contract, and a Medicare-approved Part D sponsor. Enrollment in these plans depends on the renewal of the plan's contract with Medicare. You don't need to be an AARP member to enroll in a Medicare Advantage plan or Medicare prescription drug plan. Learn about Medicare Advantage plans and Medicare supplement insurance plans.

Instead of Original Medicare, you can choose to receive your Medicare benefits from a Medicare Advantage plan, also called Part C or Medicare private health plan. In some states, plans may be available to people under the age of 65 who are eligible for Medicare because of disability or end-stage kidney disease. Medicare supplement insurance plans, also known as Medigap plans, help pay for some of the out-of-pocket costs not paid by Original Medicare (Part A %26 B). Medicare Part A and Part B do not offer prescription drug coverage or offer other health care benefits, such as dental, vision, or hearing, that you consider important to your health.

Special needs plans are Medicare Advantage plans designed for specific needs that include prescription drug coverage. For example, in Original Medicare, you have coverage to go to almost every doctor and hospital in the country. Whether you choose to go with Original Medicare or with a Medicare Advantage plan, you're likely to pay premiums, deductibles, copays, and coinsurance. In addition, each Medicare Advantage plan offers additional benefits, which, while varying by plan and provider, may include coverage for dental, vision, hearing, fitness programs, trips to doctor's appointments, and more.

As a final note, regardless of which option you decide is right for you, you can switch from Original Medicare to Medicare Advantage or vice versa. A final key difference to consider when choosing between Original Medicare and a Medicare Advantage plan is which healthcare providers you can see. Medicare Advantage plans, sometimes called “Part C” or “MA” plans, are offered by private companies approved by Medicare that must follow rules set by Medicare. People with Medicare can get their health coverage through Original Medicare or a Medicare Advantage plan (also known as a Medicare private health plan or Part C).

Medicare Advantage plans cover all of the above (Part A and Part B), and most plans also cover prescription drugs (Part D). .

Elise Woehl
Elise Woehl

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