Does a Medicare Advantage Plan Replace Original Medicare?

Does Medicare Advantage replace Medicare?

The answer is that in a sense, yes, Medicare Advantage does replace Original Medicare. But there’s much more to understanding the relationship between Medicare and Medicare Advantage.

This guide will help you learn more about Medicare Advantage plans so that you can better decide which type of Medicare coverage is right for your needs.

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With Medicare Advantage, you still receive Original Medicare benefits

When you sign up for a Medicare Advantage plan, you do not get rid of your Medicare Part A and Part B (Original Medicare) benefits. Medicare Part A covers hospital insurance, and Part B covers medical insurance.

By law, Medicare Advantage plans (which are sold by private insurance companies) are required to provide the same benefits as Original Medicare.

When enrolled in Medicare Advantage, you will receive your Part A and Part B benefits through your Medicare Advantage plan except for hospice care, which you will continue to receive through Part A.

In this sense, Medicare Advantage does “replace” Original Medicare, because almost all of your Original Medicare benefits will be obtained through your Medicare Advantage plan.

With Medicare Advantage, you pay your Original Medicare premiums

If you are required to pay a premium for Medicare Part A (up to $437 per month in 2019), you must continue to pay your premiums while enrolled in Medicare Advantage. Most people do not have to pay a premium for Part A.

You must also continue to pay your Part B premiums ($135.50 per month in 2019).

Some Medicare Advantage plans come with $0 premiums, though $0 premium plans may not be available in all areas.

What benefits do Medicare Advantage plans offer?

Many Medicare Advantage plans include prescription drug coverage, though benefits and plan availability vary based on your location.

Some plans may also offer benefits not found in Original Medicare, such as coverage for dental, hearing, vision, and other benefits.

To sum it all up: With a Medicare Advantage plan, your Original Medicare coverage remains intact but you receive your Original Medicare benefits from your Medicare Advantage plan (except hospice care).

For more questions about how Medicare Advantage works or to explore plan options in your area, contact a licensed insurance agent by calling TTY Users: 711 24 hours a day, 7 days a week.

Copyright © 2018 TZ Insurance Solutions LLC. All rights reserved.

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.