South Carolina Medicare Advantage Plans FAQ - PowerPoint PPT Presentation

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South Carolina Medicare Advantage Plans FAQ

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Medicare Advantage Plans are a type of Medicare health plan offered by a private company that contracts with Medicare to provide all your Part A and Part B benefits. Most Medicare Advantage Plans also offer prescription drug coverage. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan. Your Medicare services aren’t paid for by Original Medicare. For More Information about Medicare Advantage Plans Just call us on (843) - 681 – 7400 or visit us on – PowerPoint PPT presentation

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Title: South Carolina Medicare Advantage Plans FAQ


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FAQs Medicare Advantage Plans
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Medicare Advantage Plans
  • Medicare Advantage Plans are a type of Medicare
    health plan offered by a private company that
    contracts with Medicare to provide all your Part
    A and Part B benefits. Most Medicare Advantage
    Plans also offer prescription drug coverage. If
    youre enrolled in a Medicare Advantage Plan,
    most Medicare services are covered through the
    plan. Your Medicare services arent paid for by
    Original Medicare.
  • Heres some FAQs for you about South Carolina
    Medicare Advantage Plans.

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Frequently Asked Questions About Medicare
Advantage Plan
  • How to join a Medicare Advantage Plan?
  • Who can join a Medicare Advantage Plan?
  • When can I join, switch, or drop a Medicare
    Advantage Plan?
  • What if my plan decides to stop participating in
    Medicare?
  • What if I have End-Stage Renal Disease (ESRD)?
  • How do Medicare Advantage Plans work?

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How to join a Medicare Advantage Plan?
  • Not all Medicare Advantage Plans work the same
    way. Before you join, take the time to find and
    compare Medicare health plans in your area. Once
    you understand the plan's rules and costs, here's
    how to join
  • Use Medicare's Plan Finder.
  • Visit the plan's website to see if you can join
    online.
  • Fill out a paper enrollment form. Contact the
    plan to get an enrollment form, fill it out, and
    return it to the plan. All plans must offer this
    option.
  • Call the plan you want to join. Get your plan's
    contact information.
  • Call us at 1-800-985-8111.

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Who can join a Medicare Advantage Plan?
  • You can generally join one of these Medicare
    Advantage plans
  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)
  • Private Fee-for-Service (PFFS)
  • Medical Savings Account (MSA) Plan
  • If all of these apply
  • You live in the service area of the plan you want
    to join. The plan can give you more information
    about its service area. If you live in another
    state for part of the year, ask if the plan will
    cover you there.
  • You have Medicare Part A and Part B.
  • You don't have End-Stage Renal Disease (ESRD) 

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When can I join, switch, or drop a Medicare
Advantage Plan?
  • How to switch If you're already in a Medicare
    Advantage Plan and want to switch, follow these
    steps
  • To switch to a new Medicare Advantage
    Plan, simply join the plan you choose during one
    of the enrollment periods. You'll be disenrolled
    automatically from your old plan when your new
    plan's coverage begins.
  • To switch to Original Medicare, contact your
    current plan, or call us at 1-800-985-8111.

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  • Unless you have other drug coverage, you should
    carefully consider Medicare prescription drug
    coverage (Part D). You may also want to consider
    a Medicare Supplement Insurance (Medigap) policy.
    Remember, you may only be able to switch
    at certain times of the year.
  • If you have other coverage
  • Talk to your employer, union, or other benefits
    administrator about their rules before you join a
    Medicare Advantage Plan. In some cases, joining a
    Medicare Advantage Plan might cause you to lose
    employer or union coverage. If you lose coverage
    for yourself, you may also lose coverage for your
    spouse and dependents.
  • In other cases, you may still be able to use your
    employer or union coverage along with the
    Medicare Advantage plan you join. Remember, if
    you drop your employer or union coverage, you may
    not be able to get it back.

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What if my plan decides to stop participating in
Medicare?
  • At the end of the year, plans can decide to leave
    the Medicare Program. If your plan leaves, you'll
    get a letter explaining your options.
  • Generally, you'll be automatically returned
    to Original Medicare if you don't choose to join
    another Medicare Advantage Plan. You will also
    have the right to buy a Medigap policy.
  • No matter what you choose, you're still in the
    Medicare Program and will get all
    Medicare-covered services. If you choose to go
    back to Original Medicare, you need to decide if
    you want drug coverage. If so, you need to join
    a Medicare Prescription Drug Plan (Part D).

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What if I have End-Stage Renal Disease (ESRD)?
  • If you have ESRD, you'll usually get your health
    care through Original Medicare. You can only join
    a Medicare Advantage Plan (Part C) in certain
    situations, like these
  • You're already in a Medicare Advantage Plan when
    you develop ESRD. You may be able to stay in your
    plan or join another plan offered by the same
    company.
  • Youre already getting your health benefits (for
    example, through an employer health plan) through
    the same organization that offers the Medicare
    Advantage Plan.
  • You may be able to join a Medicare Special Needs
    Plan (SNP) for people with ESRD if one is
    available in your area.

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  • You had ESRD, but have had a successful kidney
    transplant, and you still qualify for Medicare
    benefits (based on your age or a disability). You
    can stay in Original Medicare, or join a Medicare
    Advantage Plan.
  • You have a one-time right to join another plan if
    both of these are true
  • You have ESRD and are in a Medicare Advantage
    Pla
  • The plan leaves Medicare or no longer provides
    coverage in your area
  • You don't have to use your one-time right to join
    a new plan immediately.
  • If you go directly to Original Medicare after
    your plan leaves or stops providing coverage,
    you'll still have a one-time right to join a
    Medicare Advantage Plan later.

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How do Medicare Advantage Plans work?
  • Medicare Advantage Plans, sometimes called "Part
    C" or "MA Plans," are an all in one alternative
    to Original Medicare. They are offered by private
    companies approved by Medicare.  If you join a
    Medicare Advantage Plan, you still
    have Medicare.  These "bundled" plans include
     Medicare Part A (Hospital Insurance) and Medicare
    Part B (Medical Insurance), and usually Medicare
    prescription drug (Part D).
  • Find Medicare Advantage Plans in your area.
  • For more information in detail contact us on Toll
    Free number 800-985-8111

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Contact US For South Carolina Medicare Advantage
Plans
61 Arrow Rd. Suite FHilton Head Island, SC 29928
(843) 681-7400Toll Free 800-985-8111
ashley_at_schealthbenefits.com
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Thank You
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