A Medicare Advantage plan is a private health insurance plan approved by Medicare. You may opt to get your Part A, B and D benefits from a Medicare Advantage plan instead of traditional Medicare. Originally called Part C, these Medicare private insurance plans usually have an HMO or PPO network of doctors.

Medicare Advantage Explained

Medicare Advantage plans were created as an alternative to Original Medicare and Medigap. By joining one of these plans, you direct Medicare to pay the Advantage plan a set monthly amount for your care. In return, the plan will deliver all of your Part A & Part B services. They take on all of your medical risk.

You must continue to pay your Medicare Part B premium while enrolled in an Advantage plan. You must be enrolled in both Medicare Parts A and B and live in the plan’s service area.

Medicare Advantage policies are NOT Medigap plans. They work differently because they pay instead of Medicare, not after Medicare. Learn more about how Medicare Advantage works here.

Medicare Advantage Coverage

Many people new to Medicare will ask us for the pros and cons of Medicare Advantage plans vs Original Medicare. Much of this is in the way you access your benefits.

With Original Medicare, you will have deductibles and a 20% coinsurance on Part B. You can visit any doctor or hospital that participates in Medicare, and most do.

With an Advantage plan, you will use the plan’s network of providers, which is usually local.  You will pay co-payments when you receive healthcare services. Each plan sets its own cost-sharing. For example, you might pay a small copay for a primary care doctor visit, and perhaps a higher copay to see a specialist. Likewise, some plans will charge you a daily hospital copay, and other plans might charge a flat amount for the whole stay.

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Are you turning 65, eligible for Medicare, and confused about your many different options? Understanding Medicare and finding the right plan can be a very frustrating experience. I can help.

It is in your best interest to review your different Medicare options with a local agent representing multiple companies. I live and work in Brevard County, Florida, and have provided my clients with great service since 1988.
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Michael McGarrigle Inc is an independent insurance agency is not a part of any local, state or federal government agency. Medicare has neither endorsed nor reviewed this information. If you are inquiring about a Medicare Advantage Plan or Part D coverage, you must contact Michael McGarrigle Inc personally. Agents and Brokers are prohibited from contacting you directly for information regarding Medicare Advantage Plans and/or Part D coverage. Information on this website does not constitute an application for insurance with any specific insurance company or government entity. Insurance logos and company names presented are not an endorsement of any specific organization or company. Coverage cannot be bound, altered or canceled through email or voicemail systems. Please contact us during business hours to make changes to your policies.