Primary Guide to Medicare Health Policies (Part C)

Primary Guide to Medicare Health Policies (Part C)

Medicare Part A and B insurance and additional benefits are grouped under Medicare Health Policies (Part C). Medicare Part D or prescription drugs are included in most of these policies. If you decide to enroll for any of the Advantage policies offered by private companies, you can do so if you already have regular Medicare insurance. You will not need all these insurance and Medigap insurance if you sign up for Policy C.

The distinction between the original Medicare and Medicare Advantage policies

Although everything Medicare typically covers is insured by a Medicare Advantage policy, there are some distinctions between them. Most of the time, the difference is in the amount you pay for your health care. Some of these differences include:

• co insurance or payment of another percentage of medical expenses

• deductible

• Co-pay

• on the network vs. Out of the network

• Network of available suppliers

In addition, emergency medicine and emergency care are included in Medicare Advantage Policies (Part C). In some situations, routine dental, wellness programs and/or routine sight may also be insured by some policies. Most of them are insured by Part D. However, Part C insurance does not insure hospital care, even as part of a public health policy, as they are still insured by Medicare. The different types of Medicare Advantage Part C policies In order to determine what type of Part C policy will facilitate your needs, you will need to consider the different types of policies currently available. There are several policies, including:

MSA – Medical Savings Policy

HMO – Health Care Organization Policy

POS – Service Point Policy

SNP – Special Requirements Policies

PFFS – Rate Policy for Private Service

PPO – Preferred Supplier Organization Policy

Information on these six types of policies is available online simply by entering the acronym or full words in the Google search. Choose your policy carefully. Outside of the date you were first allowed to participate and in other private situations qualifying for a given term, you can only change the policies once a year during the annual election period. The annual term of office is from October 15th to December 7th of each year. There is also a Medicare Advantage opt-out period, which runs from January 1 to February 14. Meanwhile, people enrolled in a 2019 Medicare Advantage plan can unsubscribe from their policy and regain the original Medicare insurance. It should also be kept in mind that Medicare Advantage policies vary by place of residence, with or without prescription drug insurance.

Registration of Part C

Finally, the procedure for registering Medicare Advantage policies (Part C) varies depending on the private insurance company chosen. The access times are however identical. Registration is allowed once you qualify for Medicare, but a 7 month waiting period starts 90 days before you turn 65 and then continues 120 days later. If you are below 65 and receive Social Security Disability Insurance (SSDI), you will not be eligible if you have not received an SSDI for up to 2 years and 1 month.