Medicare Advantage plans are becoming increasingly popular as people seek out more affordable health care options. They are an alternative to Original Medicare, offering additional benefits and coverage beyond what is available through traditional Medicare plans. In this article, we’ll discuss what you need to know about Medicare Advantage benefits and coverage. 

What is a Medicare Advantage Plan? 

A Medicare Advantage plan is an alternative to Original Medicare (Parts A and B). It provides the same benefits as Original Medicare, but it also includes additional coverage, such as prescription drug coverage, vision care, dental care, or even hearing aids. Most plans have no deductibles or co-pays for doctor visits and some offer lower premiums than Original Medicare. Some plans also offer copayments for certain services that may not be covered by Original Medicare like emergency room visits or urgent care. 

How Does it Work? 

Medicare Advantage plans are offered through private insurance companies that have been approved by the Centers for Medicaid & Medicaid Services (CMS). Each plan has its own set of rules and regulations regarding eligibility requirements, covered services, copayments, coinsurance amounts, deductibles and other costs associated with the plan. Generally speaking, you must be enrolled in both Parts A & B of Original Medicare in order to qualify for a Medicare Advantage plan. 

What Are The Benefits? 

The primary benefit of enrolling in a Medicare Advantage plan is that it offers more comprehensive coverage than traditional Original Medicare while still providing access to the same providers and facilities as regular Part A & B. Additionally, many of these plans include prescription drug coverage which can be a great help if you take multiple medications regularly or require expensive specialty drugs not typically covered through Part D plans. Other advantages include no deductibles on certain services such as doctor visits or lab tests; lower copayments on outpatient procedures; vision care; dental care; hearing aid coverage; travel assistance programs; access to fitness centers; home health services; transportation assistance; wellness programs; and discounts on over-the-counter medications. Finally, many of these plans have annual limits on out-of-pocket expenses which can help protect you from unexpected medical bills should something happen. 


There are many advantages that come with enrolling in a Medicare Advantage plan over original medicare. You get comprehensive coverage than traditional medicare along with access to the same providers you would find with original medicare at a lower cost than what you would pay with original medicare alone. Plus there are additional benefits like prescription drug coverage, vision care, dental care hearing aids discounts on OTC medicines etc., Many of these plans also have annual limits on out-of-pocket expenses which can help protect you from unexpected medical bills should something happen. Understanding your options when it comes to your healthcare can save you money without sacrificing quality of service so make sure you research all your options before making any decisions about your healthcare!


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