Part C Coverage
Pays covered hospital, doctor and outpatient care; known as Medicare Advantage Plans or Medicare Health Plans.
Part C is an alternative to Medicare Parts A (hospital care) and B (doctor and outpatient care). Medicare pays a private insurance company to manage Parts A and B. When you enroll, the provider bills the insurance company instead of Original Medicare.
What will it cost?
- Part C plans may require a monthly premium, as costs vary. Most people pay between $0-$200 per month.
- You may have copays and other out-of-pocket costs.
- Additionally, you must pay your Part B (doctor and outpatient care) premium.
What does it cover?
- Part C covers all services Original Medicare Parts A and B cover.
- May have limited providers in your area, ask your provider if they work with the plan you are considering.
- Most Part C plans include prescription drug coverage (Part D).
- Part C may provide additional coverage, such as vision and dental, not covered by Part A (hospital care) and Part B (doctor and outpatient care).
Good questions to ask before joining a plan
SHIINE recommends you talk to your providers, clinic, hospital and plan to determine if it is a proper fit for your situation.
When can I enroll?
How can I enroll?
- Calling the plan directly
- Calling 800-MEDICARE (800.633.4227) or
- Going to Medicare.gov
If you have End Stage Renal Disease (ESRD), you cannot enroll in Part C.