Plan overview

What Medicare Advantage Includes

Medicare Advantage plans (Part C) are offered by private insurers approved by Medicare.

They cover everything Original Medicare covers, plus often add benefits Original Medicare doesn’t include.

Bret Swope, founder of AltaMedicare
Bret SwopeFounder · Licensed Medicare Agent
Extra benefits

Common Medicare Advantage Benefits

  • Hospital and medical coverageeverything Part A and Part B cover

  • Prescription drug coveragemost Advantage plans include Part D built-in

  • Dentalcleanings, exams, and often more extensive work depending on the plan

  • Visioneye exams and an allowance for glasses or contacts

  • Hearinghearing exams and hearing aid coverage

  • Over-the-counter (OTC)quarterly allowances for pharmacy items

  • Transportationrides to medical appointments on some plans

  • Fitness benefitsSilverSneakers or similar gym memberships

Provider networks

How Networks Work

Medicare Advantage plans use provider networks.

HMO

In-network only

PPO

In-network preferred, out-of-network allowed at higher cost

Before choosing a plan, we always verify your doctors and preferred hospitals are in-network.

Costs

Copays and Maximum Out-of-Pocket (MOOP)

Instead of paying a percentage of every service like Original Medicare, Advantage plans typically use flat copays (e.g., $0 for primary care, $40 for specialist).

Every Advantage plan also has an annual maximum out-of-pocket limit — once you hit it, the plan pays 100% for the rest of the year.

Is it a good fit?

Is Medicare Advantage Right for You?

Medicare Advantage tends to make sense if:

  • You want low (or $0) monthly premiums
  • You want extras like dental, vision, and hearing built in
  • Your doctors are in-network
  • You don’t travel extensively for healthcare
  • You’re generally healthy and want a budget-friendly option
Free consultation

Have Questions? Let's Talk.

One free, no-pressure call — clear answers, no sales pitch.