{"id":20761,"date":"2019-02-26T10:56:33","date_gmt":"2019-02-26T15:56:33","guid":{"rendered":"http:\/\/www.carecloud.com\/continuum\/?p=20761"},"modified":"2025-10-23T12:48:58","modified_gmt":"2025-10-23T12:48:58","slug":"medicare-advantage-plans","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/medicare-advantage-plans\/","title":{"rendered":"How Do Medicare Advantage Plans Work?"},"content":{"rendered":"

Medicare pays for medically necessary services for most individuals\u2019 age 65 and older. Medicare may also cover those that have received disability benefits from the social security administration, or the railroad board. Traditional Medicare consists of several parts which combine coverage for hospital stays and medical services. Part A covers hospital care, care in a skilled nursing facility, or home health and hospice care services. Part B covers medical services and equipment. Usually, Medicare Part D, which covers prescription drugs, is part of traditional <\/span>Medicare<\/span><\/a> benefits. <\/span><\/p>\n

Medicare Advantage plans, which are sometimes referred to as Medicare Part C or MA Plans, offer options that are not covered under the traditional Medicare plan. Private insurance companies that are approved and paid a fixed monthly amount by the Centers from Medicaid and Medicare Services (CMS) offer Medicare Advantage plans. <\/span>Medicare Advantage<\/span> doesn\u2019t replace Medicare Part A and B but offers a way to receive additional benefits. <\/span><\/p>\n

Types of Medicare Advantage Plans<\/strong><\/h2>\n

Traditional Medicare generally permits receiving care from any doctor, provider, or hospital as long as they accept the terms of Medicare. Medicare Advantage plans are structured like a <\/span>Health Maintenance Organization<\/span><\/a> (HMO), or a Preferred Provider Organization (PPO). Each Medicare Advantage plan may have different benefits, rules, and restrictions on what coverage is provided for physicians and healthcare providers. <\/span><\/p>\n

In addition to the necessary Medicare Part B premium, each Medicare Advantage plan may have an additional cost. <\/span>Costs<\/span><\/a> from deductibles, copays and coinsurance for more costly services such as chemotherapy, radiation, and durable medical equipment can also vary. <\/span>Different types<\/span> of Medicare Advantage Plans include:<\/span><\/p>\n

Health Maintenance Organization (HMO)<\/h3>\n