What's covered in Medicare Advantage (Part C)

 

Medicare Advantage plans combine coverage for hospital stays (Medicare Part A) and coverage for doctor visits and preventive care (Medicare Part B) with extra benefits like vision and hearing exams all in one plan. Many plans also include prescription drug coverage, often at no additional premium, or you can choose a plan without prescription drug coverage.

What will you get help with?

  •  Hospital stays
  •  Skilled nursing
  •  Home health

All the benefits of Part A, except hospice care


  •  Doctor's visits
  •  Outpatient care
  •  Screenings and shots
  •  Lab tests

All the benefits of Part B


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Prescription drug coverage is included in many Medicare Advantage plans, but not all

  •  Eye care
  •  Hearing
  •  Preventive care
  •  Certain wellness services
  •  Nurse helpline

Extras may be bundled with the plan.


These are examples of the most significant items Medicare Advantage will help you with. For a comprehensive list, see each plan's specific benefits.

Do Medicare Advantage plans have coverage limits?

The terms of Medicare Advantage plans vary. Review the coverage details of your plan and others you're interested in to see what limits or exclusions may apply.

What won't you get help with?

Hospice care: Medicare Advantage plans must cover the same services as Original Medicare (Parts A and B), except they don’t provide hospice care, which is still covered by Medicare Part A. You can, however, keep your Medicare Advantage plan and receive hospice care at the same time. Your Medicare Advantage plan would continue to cover health care services not related to the hospice care. 

Medicare Advantage plans that include drug coverage may not cover the same drugs as you would get with a standalone Medicare Part D prescription drug plan, and costs for similar drugs may vary.

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