Medicare pays premiums to the insurance carrier on your behalf. In addition, you may have to pay an additional premium to the insurance carrier you sign up with depending upon the plan you wish to buy. Typically, a Medicare Advantage Plan with Prescription Drugs Plan has the following coverage of financial risks:

The policies fully cover Medicare Part A, Part B, and Part D.

Each plan has its defined cost sharing of deductible, copayment, coinsurance, maximum ‘Out-of-Pocket’ expense on an annual basis [typically $6,700], and the insurer’s service area where it is available. This combination varies across a wide spectrum of insurance carriers' choices, and so do the insurance premiums for a wide variety of plans and their availability in the area where you live.

• Part D coverage is defined as deductible and coinsurance. The levels of expense have their accounts depending upon the plan.
• To encourage you to stay healthy, there are ‘add-on’ benefits like basic dental and vision and sometimes free membership to fitness clubs and gyms.
• The preventive services are free.
• Sharing for drugs coverage that is built into the plan generally works similarly to cost sharing in stand-alone Medicare Part D plans.
• You cannot combine a stand-alone prescription drugs plan with a coordinated care Medicare Advantage plan. However, you can combine a stand-alone prescription drugs plan with a Private Fee for Service [PFFS] or a Medical Savings Account [MSA].

 

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“We do not offer every plan available in your area. Currently we represent 7 organizations which offer 35 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.”