medicare.advantage.medicare.and.you
Medicare & You # 10050

Medicare Advantage Plans MAPD are also know as Medicare Part C.  MAPD plans generally include low co-pay, deductibles, an HMO type list of doctors and hospitals. and often include Dental and Part D – Rx Prescriptions with low or no premiums.  The main enrollment requirement is that you must have both Part A Hospital and Part B Doctor Visits which runs about $134/month.  

How is zero or low premium coverage possible? 

Here’s an Explanation from Ehealth  *   Insure Me Kevin.com   It’s not free, Medicare pays the Plan – Insurance Company about $850/month to care for you, which includes paying us as your agent to help you at no charge.

Click here to view the Medicare & You Pamphlet # 10050 or What is a Medicare Advantage Plan # 11474  where Medicare has done an excellent job of explaining how these plans work, the rules and options.

See the menu above to get more details on the plans we offer, service and represent in California.  If you are out of state click here for free quotes and a referral to an agent that can help you.

Please email us or call us 310.519.1335 to discuss your options. 

When to Apply?

It’s best to apply when you turn 65 or a few months before or after  for the Medi Gap –  supplement plans or Medicare Advantage Plans, as that’s the main “Open Enrollment” period where coverage is  guaranteed issue for any plan.

If you didn’t enroll in Medicare Advantage  when you turned 65, you can do that or change plans at the Annual Coordinated Election Period (AEP) which runs from October 15 through December 7 each year.  You can also  change prescription drug plans, return to Original Medicare  (or must you wait for the disenrollment period?) and look into Medi Gap plans (PPO Any Medicare Provider).  There is a guaranteed right to enroll in Medi-Gap after a one year trial period in MAPD.  Your new plan, renewal and enrollment changes are effective on January 1.

For more details and the exact rules, see our page on when can you enroll for more details, or email us.

There is a navigational menu above and below for the Companies, we represent with their brochures, provider lists, etc. that pay us to help you enroll in their plans at NO additional cost to you.

Resources & Links

Medicare Made Clear 64 pages from UHC

History & Details of Medicare Advantage Part C since 1997  CMS.Gov

Medicare Managed Care Manual

My Advocate Helps   This website helps you Save money, engage with your community, and improve your health.

What % of those on Medicare, pick a Medicare Advantage Plan?  Which companies have what % of the market?

Some thoughts are that Medicare Advantage plans might leave sicker patients in a worse position  CA Healthline 7.6.2017

 

Technical Resources

Wikipedia.org

Medicare Acronyms

Video’s

Understanding Health Care Costs
Part C Medicare Advantage and Part D Prescription Enrollment
MD Perspective of why Medicare Advantage is great. FREE Case Management – they coordinate and make sure you get your Meds, MD Appointments, etc.

Related and Child Pages Navigational Menu in our
Medicare Advantage Section

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