Comparing Medicare Plans by County
Did you know that Medicare Advantage Plans differ depending on the county you live in? That’s right, your zip code changes the benefits available to you in Medicare Part C.
What is Medicare Part C?
Medicare Part C is administered by private insurance companies contracted with Medicare. These plans have everything that Plan A and Plan B do, but usually have extra benefits. For example, Part C plans usually offer coverage for prescription drugs you take at home and some form of dental and vision coverage as well. The exact prescription drugs that are covered are listed in the plan’s formulary and those drugs may vary from plan to plan.
What are the extra benefits available in Medicare Part C?
Other benefits that your Medicare Part C plan could offer include:
- Routine Dental Care
- Including cleanings, x-rays, and dentures
- Routine Vision Care
- Including contacts and eyeglasses
- Routine Hearing Care
- Including hearing aids
- Fitness Benefits
- Including exercise classes like Silver Sneakers
- Telemedicine
- Discuss symptoms, medical issues, and other topics with a healthcare provider in real time.
- Healthy Nutrition
- Nutritional support used to prevent and treat health-related issues
- Pet Food for Your Service Dog
- Food and supplies for members with an ADA service dog.
- Personal Home Helper
- Home health aides can assist with injuries, illnesses, even chores in some cases
- Transportation
- Services to transport members to health-related appointments
- Alternate Medicine
- Receive a combination of acupuncture and or therapeutic massage to help manage pain.
- Pest Control
- Services may include pest control treatment(s) or products that may assist the enrollee in the pest eradication (e.g., traps, pest control sprays, cleaning supplies).
- Food and Produce
- Plans may include items such as (but not limited to) produce, frozen foods, and canned goods. Tobacco and alcohol are not permitted.
- General Supports for Living
- The benefit may include plan-sponsored housing consultations and/or subsidies for rent or assisted living communities. Plans may also include subsidies for utilities such as gas, electricity, and water as part of the benefit.
- Flexible Spending Benefit Card (Flex Card)
- The funds can be used to help pay for dental, vision or hearing needs beyond your plan
- Medicare Part B Premium Give Back
- When you enroll in a Medicare Advantage plan that offers this benefit, the carrier pays either a part of or the entire premium for your outpatient coverage each month.
- Extra Help with Medicare Prescription Drug Plan Costs
- Extra Help is a program to help people with limited income and resources pay Medicare prescription drug program costs, like premiums, deductibles, and coinsurance.
Who is eligible for Medicare Part C?
To be eligible for Medicare Part C, you must:
- Be enrolled in both Medicare Part A and Part B (Original Medicare)
- Live in the service area of a Medicare Advantage insurance provider
Do I need Medicare Part C?
Medicare Part C is completely optional. However, based on your current – and predicted – needs, it might make sense for you to purchase, as many others have.
Are people with disabilities eligible for Medicare Part C?
If you’ve been receiving monthly Social Security disability benefits for 24 months, you’re eligible for Original Medicare. Once you’re enrolled in Original Medicare, you can then opt to purchase Medicare Part C.
Am I eligible for Medicare Part C?
Depending on your personal situation and where you live, there are additional benefits available to many people.