Medicare Part C —

(Medicare Advantage)

Medicare Part C, also known as Medicare Advantage, is an alternative to Original Medicare (Parts A and B) offered by private insurance companies approved by Medicare. These plans provide all the benefits of Original Medicare and often include additional services such as vision, dental, hearing, and prescription drug coverage.


Eligibility for Medicare Part C

– Must be enrolled in Medicare Parts A and B.
– Must live in the service area of the Medicare Advantage plan you wish to join.

Special Considerations:
– Individuals with End-Stage Renal Disease (ESRD) can enroll in some Medicare Advantage plans under certain conditions.

Costs Associated with Medicare Part C

The cost of Part C plans varies based on several factors. Location, carrier, gender, tobacco use, and age are just some of the factors that go into setting a rate for Part C. Some MA plans come at no cost to the member.

If you’re considering a Part C plan, definitely talk to one of our trained agents.


What Does Medicare Part C Cover?

  • Includes hospital insurance and medical insurance.
    Provides coverage for inpatient and outpatient care, doctor visits, and preventive services.

  • Often includes vision, dental, and hearing services.
    May offer wellness programs and gym memberships.

  • Many Medicare Advantage plans include Part D coverage for prescription drugs.

  • Tailored to meet the specific needs of individuals with certain conditions or circumstances.

Navigating Medicare Part C and its benefits can be complex, but Gold Valley Benefits Group is here to make the process easier for you. Our team of qualified, licensed Medicare specialists offers personalized consultations to help you understand your Medicare Advantage options, compare plans, and guide you through the enrollment process. Our goal is to ensure you make informed decisions for comprehensive healthcare coverage without any stress.

Frequently Asked Questions

  • Medicare Part C, also known as Medicare Advantage, is a plan offered by private insurance companies that provides all the benefits of Original Medicare (Parts A and B) and often includes additional services such as vision, dental, hearing, and prescription drug coverage.

  • You are eligible if you are enrolled in Medicare Parts A and B and live in the service area of the Medicare Advantage plan you wish to join. Some conditions apply for individuals with End-Stage Renal Disease (ESRD).

  • Many Medicare Advantage plans offer additional benefits such as vision, dental, hearing, wellness programs, gym memberships, and prescription drug coverage.

  • The first time individuals can enroll in Part C is when they have been enrolled in Medicare Parts A and B. This is called the Initial Election Period. Special Election Periods also apply to members who meet specific requirements. The Annual Election Period occurs each year from October 12 – December 7. During this time, all members can make changes to their current plan. The new plan becomes effective January 1.

  • Unlike Original Medicare, all Medicare Advantage plans have an out-of-pocket maximum. Each plan can set its own maximum, but that amount cannot exceed $6700 as of 2021. This maximum can change each year.