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Medicare
This is the health insurance program run by the federal government for people age 65 and older, people with certain disabilities, and people of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or kidney transplant).
Medicare Advantage Plans
These are health plans that are offered by private insurance companies that contract with Medicare to provide Medicare coverage. Depending on where the beneficiary lives, Medicare Advantage Plans may be available both with and without Part D plans. Medicare Advantage Plans are also called Medicare Health Plans. The Medicare Advantage Plans used to be called the Medicare + Choice plans.
Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are health plans offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, the plan provides all your Part A (Hospital Insurance) and Part B (Medical Insurance) coverage.
Different Types of Medicare Advantage Plans
- Health Maintenance Organization (HMO) Plans
- Preferred Provider Organization (PPO) Plans
- Private Fee-for-Service (PFFS) Plans
- Medical Savings Account (MSA) Plans
- Special Needs Plans (SNP)
Other less common types of Medicare Advantage Plans include:
- Point of Service (POS) Plans—Similar to HMOs, but you may be able to get some services out-of-network for a higher cost.
- Provider Sponsored Organizations (PSOs)—Plans run by a provider or group of providers. In a PSO, you usually get your health care from the providers who are part of the plan.
| A |
B |
C |
D |
F* |
Basic Benefits |
Basic Benefits |
Basic Benefits |
Basic Benefits |
Basic Benefits |
|
|
Skilled Nursing Coinsurance (100%) |
Skilled Nursing Coinsurance (100%) |
Skilled Nursing Coinsurance (100%) |
|
Part A Deductible (100%) |
Part A Deductible (100%) |
Part A Deductible (100%) |
Part A Deductible (100%) |
|
|
Part B Deductible |
|
Part B Deductible |
|
|
|
|
Part B Excess |
|
|
Foreign Travel Emergency |
Foreign Travel Emergency |
Foreign Travel Emergency |
* Plan F also has a high deductible options, some companies may offer this option.
| G |
K |
L |
M |
N |
Basic Benefits |
Basic Benefits |
Basic Benefits |
Basic Benefits |
Basic Benefits |
Skilled Nursing Coinsurance (100%) |
Skilled Nursing Coinsurance (100%) |
Skilled Nursing Coinsurance (100%) |
Skilled Nursing Coinsurance (100%) |
Skilled Nursing Coinsurance (100%) |
Part A Deductible (100%) |
Part A Deductible (50%) |
Part A Deductible (75%) |
Part A Deductible (50%) |
Part A Deductible (100%) |
|
|
|
|
|
Part B Excess |
|
|
|
|
Foreign Travel Emergency |
|
|
Foreign Travel Emergency |
Foreign Travel Emergency |
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