(Part C)
Medicare Part C, also known as Medicare Advantage, is an alternative to Original Medicare offered by private insurance companies approved by Medicare. These plans combine Part A (hospital) and Part B (medical) coverage into one convenient plan—and many also include Part D prescription drug coverage. In addition, most Medicare Advantage plans offer extra benefits that Original Medicare doesn’t cover, such as vision, dental, hearing, fitness programs, and sometimes even transportation or over-the-counter allowances. While you still need to be enrolled in Parts A and B, Medicare Advantage plans often come with low or $0 monthly premiums, but may have copays, provider networks, and prior authorization requirements. It’s a good option for those looking for all-in-one coverage with extra benefits, but it’s important to compare plans carefully based on your health needs and preferred providers.
One of the biggest advantages of Medicare Advantage plans is the simplicity of having all your coverage managed through a single plan provider. This can make navigating your healthcare easier, with streamlined billing, coordinated care, and a centralized customer support team. Many plans also include care management services , helping you stay on top of chronic conditions or preventive screenings. In some cases, these plans may offer lower out-of-pocket costs for certain services compared to Original Medicare, especially when you stay in-network. Plus, Medicare Advantage plans are highly customizable—letting you choose a plan that matches your lifestyle, budget, and health priorities.
Medicare Advantage plans can seem like a great all-in-one solution, but it’s important to understand what you’re signing up for. When you join a Medicare Advantage plan, you are replacing Original Medicare and signing over your Part A and B benefits to a private insurance company. That means you must follow their rules, not Medicare’s. These plans often have ZIP code-based provider networks, which can limit your access to doctors and hospitals—especially if you travel or move. They also typically require prior authorizations for many tests, procedures, and even specialist visits, which can delay care. Plus, while the monthly premiums may be low, out-of-pocket costs can add up quickly, with maximum limits reaching several thousand dollars each year. Lastly, keep in mind that you can only enroll or switch plans during specific times of the year, so your ability to change plans is restricted. It’s critical to weigh all these factors before deciding if Medicare Advantage is the right fit for you.
(Part D)
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© 2025 My Medicare Now. All rights reserved. As a national Medicare brokerage, we work with multiple carriers to provide comprehensive plan options. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.