Medicare Advantage FAQ

Lots of people have questions about Medicare Part C. Take a look at these Medicare Advantage Plans Frequently Asked Questions, and see if any of them answer your queries:

Q: Do I need Medicare Part A and Part B to enroll in a Medicare Advantage Plan?

A: Yes. You must have both Part A and Part B to enroll in a Medicare Advantage Plan.

Q: Who can enroll in a Medicare Advantage Plan?

A: Typically, if you qualify for Medicare Part A and Part B, you also are eligible for Medicare Advantage Plans. You must, however, live in a Medicare Advantage service area. Medicare Advantage plans may not be available in all areas.

Q: Do I still need to show the provider my oOriginal Medicare Red, White, and Blue card if I enroll in a Medicare Advantage Plan?

A: No. You’ll need to use your new Medicare Advantage Plan’s identification card. Keep your Original Medicare card in a safe place in case you change plans again.

Q: Do most Medicare Advantage Plans offer prescription drug coverage?

A: There are two ways you can get your prescription drug coverage. You can add it through a “stand alone” Medicare Prescription Drug plan or you can get prescription drug and the rest of your Medicare coverage through a Medicare Advantage Prescription Drug Plan, like an Health Maintenance Organization (HMO) or Preferred Provider Organization (PPO).

Q: Do Medicare Advantage Plans cost the same and do they offer the same level of coverage?

A: Cost, extra benefits, and rules vary. However all Medicare Advantage Plans must offer at least the same coverage as Original Medicare.

Q: If I enroll in a Medicare Advantage Plan, do I also need a supplemental Medigap policy?

A: No. Medigap policies don’t work with Medicare Advantage. If you already have one, you may want to drop it. Medigap cannot be used to pay for any plan costs, such as coinsurance, copayments, and deductibles.

Q: Can I enroll in or leave a Medicare Advantage Plan at any time?

A: You can make changes at certain times and elect to change Medicare Advantage Plans annually. There are some exceptions. If you qualify for a Special Enrollment Period, you may be able to enroll in, switch, or drop your plan.

Q: What happens with my Medicare Advantage Plan if I’m hospitalized?

A: Hospitalization coverage varies, depending on your plan. For instance, some Medicare Advantage Plans may have an established daily copayment, while others may have a preset amount per hospital stay. You should consider this when selecting a plan.

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