06/07/2026
Medicare Advantage. Medicare Advantage plans are offered by private companies approved by Medicare and are sometimes referred to collectively as Medicare Part C.
Medicare Advantage plans are required to cover all services covered by traditional Medicare plans except hospice care, which continues to be provided under traditional Medicare Part A to Medicare Advantage enrollees. Although Medicare Advantage plans must provide coverage for all services covered under traditional Medicare, they may also offer enrollees additional benefits. Such additional benefits may include:
vision benefits
prescription drug benefits
dental benefits
health and wellness benefits, such as discounts on gym fees
In addition, Medicare Advantage providers are allowed to expand the scope of their coverage and provide several types of non-health related items in their benefit plans. Medicare Advantage plans can offer additional benefits that have traditionally been associated with long-term care and long-term care insurance. These benefits can include:
adult day care services
in-home support services
home-based palliative (“comfort”) care
transportation for (non-emergency) medical services
home safety devices and modifications
In order to be covered by the plan, these supplemental benefits must be recommended by a physician or licensed medical professional.
Medicare pays a fixed amount for a Medicare beneficiary’s health care each month to the Medicare Advantage plan providers. However, Medicare Advantage plans may vary with respect to their additional premiums, their out-of-pocket costs and their rules applicable to obtaining care. Enrolling in a Medicare Advantage program eliminates the need for a Medicare beneficiary to purchase Medicare supplement coverage.
In most cases an enrollee in a Medicare Advantage plan must stay enrolled for the calendar year starting on the day coverage begins. However, an enrollee can join or leave a plan at certain times during the year. Therefore, if an insured becomes unhappy with the Medicare Advantage plan he or she can switch back to traditional Medicare.
Call Michael Ring to see which Medicare Advantage Plans serve your area: 207-404-1468.