Posted on April 17, 2023

As you approach retirement age, one of the most critical decisions you will make is selecting the right health insurance plan. Medicare Part C, also known as Medicare Advantage, is a popular option for many seniors as it offers additional benefits beyond the coverage provided by Medicare Part A and Part B. At Shermane's Insurance Agency LLC, we specialize in helping seniors in Brooklyn, Bronx, Manhattan, Queens, and Staten Island navigate the complex world of insurance and find the right plan for their needs. 

In this blog post, we will explore Medicare Part C, who is eligible for it, and how it differs from other Medicare plans. We will also address some frequently asked questions about Medicare Part C and provide insights into the benefits it offers.

Understanding Medicare Part C

Medicare Part C is a health insurance plan offered by private insurance companies approved by Medicare. It combines the coverage provided by Medicare Part A and Part B, with additional benefits such as prescription drug coverage, vision, hearing, and dental care. Medicare Part C plans may also provide coverage for services not typically covered by traditional Medicare plans, such as wellness programs, gym memberships, and transportation to medical appointments.

Who is Eligible for Medicare Part C?

To be eligible for Medicare Part C, you must meet the following criteria:

• You must be enrolled in Medicare Part A and Part B.
• You must live in the service area of a Medicare Part C plan.
• You must not have end-stage renal disease (ESRD) except under certain circumstances.

Medicare Part C plans are available in most areas of the country, and the specific benefits and costs of each plan may vary. At Shermane's Insurance Agency LLC, our insurance-certified agents can help you understand the eligibility requirements and find the right plan for your needs.

The Benefits of Medicare Part C

Medicare Part C plans offer several benefits beyond what is provided by traditional Medicare plans. For example, many Medicare Advantage plans offer prescription drug coverage, which is not included in Original Medicare. Some plans also provide additional services like dental, vision, and hearing care, which can be costly when paid for out-of-pocket.

Medicare Part C plans may also have lower out-of-pocket costs than traditional Medicare plans, making them a more affordable option for seniors on a fixed income. Additionally, some plans may offer wellness programs and preventative care services that can help you stay healthy and avoid more costly medical expenses down the road.

Frequently Asked Questions about Medicare Part C

How much does Medicare Part C pay?

The amount that Medicare Part C pays for covered services varies depending on the plan you select. At Shermane's Insurance Agency LLC, our team of experts can help you understand the costs associated with each plan and determine which plan is the best fit for your budget and healthcare needs.

What's the difference between Medicare Part A, B, and C?

Medicare Part A covers hospital care, skilled nursing care, hospice, and home health services. Medicare Part B covers doctor visits, outpatient care, medical equipment, and preventative care services. Medicare Part C, or Medicare Advantage, combines the coverage provided by Parts A and B, with additional benefits offered by private insurance companies approved by Medicare.

Is Medicare Part C deducted from Social Security?

No, Medicare Part C premiums are not deducted from your Social Security benefits. However, you can choose to have your premiums deducted from your Social Security payments if you prefer.

What is the difference between Medicare Supplement and Part C?

Medicare Supplement, also known as Medigap, is a type of insurance that helps pay for the out-of-pocket costs associated with traditional Medicare plans. Medicare Part C, or Medicare Advantage, is a separate type of health insurance plan offered by private insurance companies approved by Medicare that combines the benefits of Medicare Parts A and B with additional benefits such as prescription drug coverage, vision, dental, and hearing services.

While Medicare Supplement plans only cover the out-of-pocket costs associated with traditional Medicare plans, such as deductibles, coinsurance, and copayments, Medicare Advantage plans provide all the benefits of traditional Medicare plans and additional benefits. This means that Medicare Advantage plans may cover services that are not covered by traditional Medicare, such as routine dental or vision care.

Another key difference between Medicare Supplement and Part C is the network of providers. Medicare Supplement plans allow you to see any healthcare provider that accepts Medicare, while Medicare Advantage plans usually have a network of healthcare providers that you must use to receive full coverage. If you use an out-of-network provider with a Medicare Advantage plan, you may be responsible for paying a larger portion of the cost.

It is important to note that Medicare Supplement plans cannot be used in conjunction with Medicare Advantage plans. If you enroll in a Medicare Advantage plan, you will not be able to enroll in a Medicare Supplement plan.

When deciding between Medicare Supplement and Part C, it is important to consider your individual healthcare needs and budget. Medicare Supplement plans may be a better choice for those who prefer more flexibility in choosing their healthcare providers and want to keep their out-of-pocket costs low, while Medicare Advantage plans may be a better choice for those who want more comprehensive coverage and additional benefits.

Medicare Part C is an excellent option for those who want more coverage than what is offered by traditional Medicare plans. With the ability to choose a plan that fits your specific needs, including prescription drug coverage, vision and dental benefits, and more, Medicare Part C can provide you with peace of mind and financial security.

At Shermane's Insurance Agency LLC, we understand how important it is to have the right insurance coverage. That's why we offer a variety of insurance options, including Medicare Supplement, Medicare Advantage, and Prescription Drug Plans, to ensure that you have the coverage you need to stay healthy and financially secure. 

If you have questions about Medicare Part C or any other insurance options, please don't hesitate to reach out to our team at (516) 603-0175 or [email protected]. Our knowledgeable and friendly agents are ready to help you find the insurance policy that fits your unique needs and budget. Let us help you navigate the complex world of insurance and provide you with peace of mind and financial security.