Medicare Part C explained

Medicare Advantage, or also known as Medicare Part C, is a bundled Medicare plan offered by private insurance companies. These private companies work with Medicare and make sure they provide full benefits to all beneficiaries.

In a Medicare Advantage plan, private insurance companies work with Medicare to offer parts A and B medicare plans with some additional services called “Part C.”

A recent survey proved that 34% of all people with Medicare also have are enrolled with Medicare Advantage plans such as HMO or PPO.

Medicare regularly pays a fixed amount for your health expenses to the companies offering private Medicare advantage plans. These companies follow the rules set by Medicare that can change each year.

A variety of options to choose from when you opt for the Medicare C plan as:

  • Special needs plans
  • Medicare medical savings account plans
  • Private fee-for-service plans
  • Health maintenance organization plans
  • Preferred provider organization plans

Medicare Part C covers:

A Medicare Advantage Plan covers everything that is included in Part A and Part B.

Medicare Part C Costs

Various factors determine the Medicare Part C costs, including deductibles, copayments, premiums, and coinsurance. 

There are also various costs associated with Medicare Part C plans, including:

  • Premiums
  • Deductibles
  • Co-pays
  • Coinsurance

Medicare Part C Enrollment

Medicare C enrollment period (IEP) starts from 3 months before a person turns 65. During this period, a person can get enrolled in:

  • Medicare Parts A and B
  • Medicare Advantage (Part C)
  • Medicare Part D Prescription Drug Plans

Medicare Part C Eligibility

To enroll in Medicare part C a person needs to meet two eligibility conditions:

  • Currently enrolled in Original Medicare both Parts A and B
  • Reside where the insurance provider offers the coverage that they require.
  • This plan is also available during its application or enrollment period.