Medicare Advantage (MA) Plans

What it covers:

Medicare Advantage Plans contract with Medicare to provide you with all your Part A and Part B benefits.If you're enrolled in a Medicare Advantage Plan, Medicare services are covered through the plan and aren't paid for under traditional Medicare. Medicare Advantage plans often also offer additional coverage benefits to their members. Most, but not all, Medicare Advantage Plans offer prescription drug coverage. Having a MA plan will limit your ability to travel and have insurance coverage outside your network. MA plans may also require a co-pay during each clinic visit. Click here to learn more about Medicare Advantage Plans.

Can ESRD patients enroll in a Medicare Advantage Plan?

No, Medicare Advantage plans are not offered to people with kidney failure also known as End Stage Renal Disease (ESRD).

What if I was enrolled in a Medicare Advantage Plan before starting dialysis or needing a transplant?

People with chronic kidney disease who are eligible for Medicare due to age or disability may choose to enroll in a Medicare Advantage plan. If they later need dialysis or a transplant they can choose to keep their Medicare Advantage plan or return to traditional Medicare and get a supplement insurance.

Who offers Medicare Advantage Plans?

A Medicare Advantage Plan is a type of Medicare health plan offered by private insurance companies.

Cost:

Since Medicare Advantage plans are offered by private insurance companies, they have a varying monthly premiums and coverage benefits. It is important to research your options among Medicare Advantage plans as well as compared to traditional Medicare and a medigap policy.

Where can I find a Medicare Advantage Plans?

You can find Medicare Advantage Plans through the Medicare website's Plan Finder.

When can I enroll in a Medicare Advantage Plan?

You can enroll and make changes in your Medicare Advantage plan each year during open enrollment - October 15–December 7.

What if I want to disenroll and sign up for regular Medicare again?

You can disenroll and sign up for regular Medicare between January 1–February 14 each year.

What is a Medicare Special Needs Plan (SNPs)?

Medicare SNPs are a type of Medicare Advantage Plan. Medicare SNPs limit membership to people with specific diseases, such as kidney failure (ESRD), and tailor their benefits, provider choices, and drug formularies to best meet the specific needs of people with kidney failure. Click here to learn more about Medicare Special Needs Plans.

Medicare SNPs are not available everywhere. Each yearMedicare SNPs offer plans in different parts of the country. These plans are offered by private insurance companies, so they decide where to offer them. They may serve people in a particular state or only certain counties. Click here to find a plan in your area.

If you are enrolled in a Medicare SNPs you can decide each year during open enrollment whether to stay in that plan or change to traditional Medicare.