Medicare Advantage Plans (Part C)
More coverage, more convenience — and guidance to help you choose with confidence.
Medicare Advantage Plans (also known as Part C) are an all-in-one alternative to Original Medicare. These plans are offered by private insurance companies that contract with Medicare to provide you with Part A (hospital insurance) and Part B (medical insurance) — and most plans also include Part D (prescription drug coverage).
Why Choose a Medicare Advantage Plan?
Many people prefer Medicare Advantage Plans because they often offer:
- Extra benefits like dental, vision, hearing, and fitness programs
- Built-in drug coverage (no need for a separate Part D plan)
- A yearly out-of-pocket limit to help manage your healthcare costs
- Coordinated care through provider networks
We’ll help you compare your options and find a plan that’s tailored to your health, your doctors, and your budget.
Types of Medicare Advantage Plans
There’s no one-size-fits-all — and that’s a good thing. Here are the most common types of Medicare Advantage Plans:
- Health Maintenance Organization (HMO): You’ll choose doctors and hospitals within a set network and may need referrals to see specialists.
- Preferred Provider Organization (PPO): Offers more flexibility — you can see out-of-network providers, usually at a higher cost.
- Private Fee-for-Service (PFFS): You can see any provider who accepts the plan’s terms. Some may not accept the plan, so it's important to check ahead.
- Special Needs Plans (SNPs): Designed for people with chronic conditions like diabetes, COPD, or congestive heart failure — or those who qualify for both Medicare and Medicaid or live in a care facility.
- <Medical Savings Account (MSA): Combines a high-deductible plan with a medical savings account you can use for healthcare costs.
We’ll walk you through what each plan offers and help determine which one fits your life best.
Do I Qualify for a Medicare Advantage Plan?
To enroll in a Medicare Advantage Plan, you must:
- Be enrolled in both Medicare Part A and Part B
- Live in the plan’s service area
- Continue paying your Part B premium, plus any premium the plan itself may charge
Myth buster: Having a Medicare Advantage Plan doesn’t mean you “lose” Medicare — you’re still in the Medicare program, just receiving your benefits through a private plan.
How Are Medicare Advantage Plans Different From Original Medicare?
Extra Coverage: Many Medicare Advantage Plans go beyond what Original Medicare covers — offering vision, dental, hearing, and wellness benefits like gym memberships.
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Extra Coverage:
Many Medicare Advantage Plans go beyond what Original Medicare covers — offering vision, dental, hearing, and wellness benefits like gym memberships. -
Out-of-Pocket Protection:
Unlike Original Medicare, Advantage Plans have a yearly maximum out-of-pocket limit, which can help protect you from high medical bills. -
Built-In Drug Plans:
Most Medicare Advantage Plans include prescription drug coverage, so you won’t need a separate Part D plan. Just make sure your medications are on the plan’s formulary (drug list). -
Provider Networks:
Many plans require you to use a network of doctors, hospitals, and pharmacies. It’s important to check whether your current providers are in-network — and to know they can change from year to year.
Need help with this? That’s where we come in — we’ll help you find a plan that works with your doctors, your prescriptions, and your lifestyle.
Medicare Savings Programs
If you have limited income and resources, you may qualify for programs that help pay for:
- Your Part A and B premiums
- Deductibles and co-pays
- Other out-of-pocket costs
If you also have Medicaid, most of your care may already be covered. There are different levels of assistance depending on your income and resources. Contact your local or state Medicaid office to see if you qualify and to apply.
Let's Find the Right Plan Together
Medicare Advantage Plans can offer real value — if you choose the right one. At Tailored Medicare, we’ll take the time to understand your unique needs and help you compare your options in plain English.
Ready to get started?
to schedule a free, no-obligation consultation.