Medicare Part C 2020
The Medicare Advantage plans are known as Medicare Part C. This kind of plan gives you a way to get your Original Medicare benefits from outside the Medicare organization. Once you sign up for one of these plans, you no longer get your Medicare benefits from the government, but instead they come through the private insurance provider that you sign up with. Let’s talk about Medicare Part C 2020 and how it can benefit you. Hopefully, by the time you finish reading this you will have a better idea as to whether it is the right healthcare insurance policy for you or not.
The Benefits of Part C
If you are getting Original Medicare right now and enjoying its coverage benefits, you should know that you won’t lose anything by signing up for Medicare Part C. It simply replaces where you get most of your Medicare benefits from. All of those for Medicare Part A and Part B (except for Part A hospice care) will be transferred over to your new insurance provider rather than coming to you from Medicare itself.
In addition, you will be covered for all emergency medical services. That can include coverage for all ambulance transport and ambulance care, as well as for lifesaving treatment and ER visits. That’s some expensive medical services right there, and having them all covered under what is usually a very affordable Medicare Part C plan can be a huge money saver.
On top of all that, you also get coverage through your Part C plan for urgently needed care. What this entails will really depend on the situation. There will be times where medical tests or surgeries fall under this classification. There will be other times where it will include coverage for prescription drugs or for routine checkups and prescription items that could include glasses or hearing aids.
The Limitations of Part C
Medicare Advantage plans may be powerful and may be able to cover you for expenses that other medical insurance plans cannot, but they do have some limitations and restrictions that you need to know about. They can cover you completely only in the insurance company’s network area. Once you step outside that network for your healthcare services and treatment, then you will not receive full coverage from your Advantage plan.
The standard type of Advantage plan network option that people go with is called an HMO. You will see this listed as part of the name of the plan, if that is the kind of plan that you sign up for. So, your Advantage plan may be titled AARP Medicare Advantage HMO. The HMO part of the name tells you that you receive full coverage while you are in AARP’s network. If you go outside the network for any healthcare services, then you will not be covered at all, if you have an HMO.
The other main type of network option you will see is the PPO plan. This lets you get some coverage outside the network. It isn’t full coverage, but it is something. You also get full coverage inside the network while on a PPO plan. Since you are getting more coverage than the HMO plan offers, you will pay a higher price for this kind of Medicare Part C 2020 network option.
Pay close attention to the network for any Part C plan you are getting. The network is determined by the insurance company selling the plan and by the various hospitals, clinics and other medical facilities that they have agreements with. If your insurer’s plans are not honored at a specific medical facility, then that facility is not considered to be on their network. Whether you live outside of the network or not, there are options available to you to help keep your healthcare costs low and to ensure that your insurance plan still offers you some coverage. If you meet the qualifications for a Medicare Part C plan, then you also qualify for both the HMO and PPO options. There are some other network options too, but not as many people qualify for them, nor are they as easy to find being offered by the various insurance companies.
Enrollment in Part C
Who can qualify for this type of plan? Well, you have to meet some very basic requirements. Here is what it takes to enroll in a Medicare Part C plan:
Enrollment in parts A and B of Medicare (original Medicare)
Be at least 65 years old
Be a US citizen or be a permanent resident for at least 5 years
Now in addition to all of this, you also need to be careful about having any conflicting medical coverage. If you have a Medicare Supplement, if you have a coverage plan for your union or your employer or any other kind of plan that could overlap with Medicare Part C, you will need to drop that other plan to start receiving coverage from your Part C policy. You may be able to sign up for Part C while you have an overlapping plan, but your coverage will not be valid until you get rid of the other policy. Keep that in mind and look closely at your current coverage before you sign up for Part C.
This also applies to Medicare Part D. Many of the Advantage plans will include Part D coverage, and if you already have that Part D prescription drug plan, then you will need to drop it or choose a different Part C plan. You cannot be signed up for two versions of Part D at the same time. The overlapping coverage is simply not allowed.
If you think that Medicare Part C 2020 might be right for you, then use our site to source some quotes and compare the rates. You can save lots of money this way. You can also contact us to get your questions answered or to get advice about your options and which kind of plan to choose. We would be happy to assist you.