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Medicare Advantage

Medicare Advantage plans are the fastest growing sector within the Medicare insurance market.

Medicare Advantage Plans

With Medicare Advantage plans representing the fastest growing segment of the Medicare beneficiary health insurance market, agents can seize the opportunity by contracting with various carriers.

Medicare Advantage plans, sometimes called Medicare Part C, are private health insurance options that Medicare beneficiaries can select to replace their Original Medicare (Part A and B).

What are Medicare Advantage Plans?

Medicare Advantage (also called Medicare Part C or "MA" plans) are alternative plans to Medicare Part A and B that are provided by private, Medicare-approved companies. Importantly, MA plans may also include Part D prescription drug coverage.

MA plans are available as HMO or PPOs:

  • HMO (Health Maintenance Organization) - These plans typically require referrals from your primary care physician to see a specialist. Importantly, these plans do not provide out-of-network coverage except for emergency or urgent care. In other words, if you are traveling and seek non-emergency care from an out-of-network hospital or provider, your HMO plan will not cover these expenses.

  • PPO (Preferred Provider Organization) - These plans allow you to see specialists without a referral from your primary care physician. Unlike HMO plans, with a PPO you can see out-of-network providers for non-emergency care, although there is typically a higher cost than when you see your in-network provider.

What are the benefits of Medicare Advantage plans?

MA plans cover a wide range of services including:

  • Inpatient hospital care

  • Skilled Nursing Facility (SNF) care

  • Hospice

  • Home Health care

  • Outpatient doctor visits

  • Preventive screenings (e.g. Cardiovascular and cancer screenings)

  • Diabetes screenings and supplies

  • Welln ess visits (e.g. flu and vaccinations)

  • Certain ambulance services and transportation

  • Maximum out-of-pocket limits

Additionally, many MA plans offer a wide range of extra benefits not provided by Original Medicare including:​

  • Dental

  • Vision

  • Hearing

  • Fitness (e.g. gym memberships)

  • Transportation to doctor's appointments

How do I get contracted?

We contract with leading national carriers as well as regional and local plans.

Through our extensive nationwide network, you can ensure you receive transparent, top level contracts that grow with you.

Contact us today to get started!

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