Sponsored Ad

Understanding Medicare Part C Eligibility Requirements Explained & Updated March 2018

Medicare Advantage plans are often times called Medicare Part C. These are Medicare-approved private health insurance plans for individuals who are enrolled and enjoying the benefits of Original Medicare, Part A and Part B.

If you decided to join a Medicare Advantage plan Medicare Part C, you are still in the Medicare program, you can still enjoy the benefits of the previous plan but you must continue paying the premium of your Medicare Part B.

The Benefits of Medicare Part C Eligibility

Medicare Advantage of Medicare Part C offers wide benefits for its eligible members.

  • It provides all of your Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) coverage.
  • You can enjoy additional great benefits such as vision, dental, and hearing, and many include prescription drug coverage.
  • You can have access to other healthcare facilities, healthcare personnel and doctors from accredited hospitals and wellness centers.
  • It has the potential to help you save money because the excess money from this plan as out-of-pocket costs in these plans can be lower than the Original Medicare, Part A and Part B.

Things to Consider in Choosing Part C

  • Pricing may vary from one by plan provider to another. This is why you need to be careful and in comparing all plans in your area.
  • The cost may also vary according to the services you use and the type of plan you are about to purchase.
  • Talk to the health insurance plan directly or with a licensed insurance agent or broker.
  • You can disenroll from this plan during a Medicare Advantage Disenrollment Period. This runs from January 1 through February 14. During this period, you have the liberty to terminate your Medicare Advantage plan and return to the Original Medicare coverage.

What Does Part C Plan Cover?

The following benefits are among the great additions that eligible individuals and members can enjoy in Medicare Part C.

  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)
  • Private Fee-for-Service (PFFS)
  • Special Needs Plans (SNPs)
  • HMO Point-of-Service (HMOPOS)
  • Medical Savings Account (MSA)

Eligibility for Medicare Part C

  • Live within the service area of the plan you want to join in.
  • If you are currently enrolled in Original Medicare, Part A and Part B, coverage.
  • If you donot have end-stage renal disease such as permanent kidney failure that required dialysis or kidney transplants. On the other hand, there are few exceptions on this provision.