You might think that Medicare Part A and Medicare Part B can only be covered by Original Medicare, but that’s not quite true. There is another way to get these covered, and that’s through Medicare Part C 2020. This is a powerful health insurance policy that also goes by the name Medicare Advantage, since it has an advantage over other healthcare plans in that it is so big and covers so much for you.
What Does It Cover?
If you were to get a basic Medicare Part C plan, then you would end up with coverage for all of Original Medicare as well as for any emergency treatment you needed and all urgently needed care. That’s going to cover you for all sorts of medical expenses, most of which are necessary and common.
Original Medicare already includes cover for Medicare parts A and B, which are providing coverage for inpatient and outpatient expenses. This may include hospital stays, some medications, tests, surgeries, doctor’s office visits and much more.
The emergency care and urgently needed care is often situational. That means that what exactly it will cover will depend on the situation you are in. Your healthcare provider will determine what kind of services are urgently needed and what ones are emergency procedures. If they are medically necessary, then they will be covered by your plan. If they are elective or not doctor recommended, then you will have to pay for them yourself.
You may get some help from your insurance provider, though. Many of them offer some perks that reduce the costs of various healthy living services or even medical procedures. With some insurers, you can enjoy a reduced rate on gym membership, dietician consultations and corrective eye surgery. These may not fall under the classification of being “medically necessary”, so they would normally be services you would have to pay on your own.
Many of the Advantage plans also cover the cost of annual checkups and Part D prescription drug plans. Check the Advantage plan you are interested in before you sign up. You want to be absolutely sure as to what you are getting and how it will cover you for the coming year.
How You Can Get Part C
If you would like a Medicare Part C plan, then you will need to sign up at the right time and will need to be eligible. You can sign up during what is called the Open Enrollment period. This is a once-a-year window that is open from October 15th and will end on December 7th. This is when you are supposed to apply for the plan and if you fail to do that, then you will need to apply next year instead. If your application is approved, then you will start to receive coverage on January 1st of the following year.
Eligibility for these plans is pretty simple. If you want Medicare Part C 2020, then you need to be at least 65 years old, or you need to have some qualifying medical condition. That could be a disability or one of a number of other things. Check with us or a Medicare agent to find out if you qualify for Medicare before age 65, if you are not quite that old yet.
You also need to be a US citizen, but permanent residents will be allowed to sign up too, if they have been in the US for at least five consecutive years.
Another way to look at eligibility for Medicare Part C is that if you qualify for Medicaid and Medicare, then you qualify for Part C too. These plans all work on many of the same guidelines, so qualifying for one usually allows you to qualify for another.
You can apply for a Part C plan and be approved but not get any coverage from it if you have a conflicting plan. Any Medicare Supplement policy is going to conflict with the Part C plan. Your union, trust fund and employer-based policies for healthcare coverage will not be compatible either. You will need to drop these plans or not get the Part C plan. You’ll want to choose carefully between these options, as you want to have the most suitable coverage.
The Network Will Limit Coverage
Anytime we tell someone about Medicare Part C, we always make sure to tell them that there are networks that these plans operate on that limit where full coverage can be provided. If you live outside of your insurance company’s network of clinics and hospitals and such, then you will not get full coverage when you go for healthcare services.
Another way to put this is to simply tell you that any healthcare facility you go to where your insurance company’s plans are not honored will mean that you cannot get full coverage there. You may be able to get partial coverage, however.
You see, you have a couple of options to pick from in regards to the network and your plan’s coverage. You can choose the HMO plan option that will only provide coverage on the network. Or you can choose the PPO plan option that will cover you both on and off the network. The coverage it provides for outside the network will only be partial, but that is often better than nothing. Since PPOs will cover you greater than an HMO will, the PPOs cost more.
You can use our website to see what those costs are and how the plans differ pricewise. This may help you to make a smart decision that will benefit you for the coming year.
Signing up for Medicare Part C 2020 means that you get a full year of coverage under that plan. Make sure you pick your plan carefully, and feel free to contact us if you want any questions answered or if you need any help figuring out your coverage future. We would be happy to assist you.
Compare 2020 Medicare Advantage Plans