Medicare Advantage Plans

What is Medicare Advantage?

A Medicare Advantage plan is available to provide more options for Medicare beneficiaries. Medicare pays private insurance companies a monthly premium to be your insurance company. When you are insured on a Medicare Advantage Plan, your private insurance company pays a portion of your claims while you pay a copay. A copay is different from the co-insurance that you pay with Original Medicare (20% for Medical Services Covered by Part B). Another great benefit to having a Medicare Advantage plan is the maximum out of pocket limit which is the most you could be billed for medical services in a year. All Medicare Advantage Plans in Texas have a maximum out of pocket. Here's some other points to keep in mind:

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• You may be required to use doctors and hospitals in the plan network.

• You may or may not need referrals depending on the plan you choose.

• Depending on the plan you may pay a low or $0 monthly plan premium.

• You pay co-pays, co-insurance, and usually includes your prescription coverage.

• Enrollment at certain times of the year or with special qualifying event.