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Medicare Advantage Facts

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What is Medicare Advantage?

Discover the basics of Medicare Advantage plans, an alternative to Original Medicare that offers additional benefits and is provided by private insurance companies.

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Types of Medicare Advantage

Explore the various Medicare Advantage plan types, including HMO, PPO, PFFS, and SNP, each with its own set of rules, provider networks, and coverage options.

Provider Networks

Understand the importance of provider networks in Medicare Advantage plans, including how different plan types (HMO, PPO, PFFS) affect access to healthcare providers and the role of in-network and out-of-network services in determining costs and coverage.

Prescription Drug Coverage

Learn about Medicare Part D, which is included in many Medicare Advantage plans, and how it covers prescription medications, as well as the coverage gap or "donut hole."

Plan Comparison and Cost

Review practical tips and considerations for selecting the right Medicare Advantage plan, taking into account factors such as costs, provider networks, additional benefits, and plan ratings.

Medicare Star Ratings

Learn about the Medicare Star Rating system, which measures the quality and performance of Medicare Advantage plans, helping beneficiaries make informed choices about their healthcare coverage

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Eligibility and Enrollment

Learn about the eligibility criteria for enrolling in Medicare Advantage, including being enrolled in both Medicare Part A and Part B, and living in the plan's service area.

Additional Benefits

Discover the extra benefits that Medicare Advantage plans often provide, such as dental, vision, hearing, fitness programs, and telehealth services, which are not covered by Original Medicare.

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