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Medicare Advantage Plans (Part C) – Smarter Coverage, Better Value
Discover how Medicare Advantage helps you bundle hospital, medical, and prescription coverage into one simple, affordable plan.
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What is Medicare Advantage Insurance
Medicare Advantage (also called Part C) is a way to get your Medicare coverage through a private insurance company that’s approved by Medicare. Instead of juggling Original Medicare (Part A for hospital + Part B for doctor visits) separately, and then maybe buying a Part D drug plan and a Medigap supplement, Medicare Advantage rolls most of that into one plan
What it Includes
Hospital (Part A) – Inpatient hospital stays, skilled nursing, some home health.
Medical (Part B) – Doctor visits, outpatient care, preventive services.
Prescription Drugs (Part D) – Most Advantage plans include this.
Extras – Vision, dental, hearing, fitness memberships, even transportation in some cases.
Why Choose Medicare Advantage (Part C)
A single plan that bundles hospital, medical, and often prescriptions—plus extra perks you’ll actually use.
All-in-One Coverage
Combines Medicare Part A (hospital), Part B (medical), and often Part D (prescriptions).
Extra Benefits
Vision, dental, hearing, and even fitness memberships—varies by plan.
Cost Savings
Low premiums and annual maximum out-of-pocket limits for predictable costs.
Convenience
Streamlined coverage with local provider networks and one member ID card.
Who Needs Medicare Advantage (Part C)?
Real talk: if you want Medicare in one neat package—with extras, Medicare Advantage might be your lane. Tap a tile to see if it fits.
People on Medicare Who Want “One-Stop-Shop” Coverage
Part C can roll Part A (hospital), Part B (medical), and often Part D (drugs) into one plan.
Click to see details
- Single ID card, one plan to manage; many include prescription drug coverage.
- Convenience: one set of rules, one network, one customer service line.
Folks Who Want Extra Benefits Original Medicare Doesn’t Give
Think dental, vision, hearing aids, OTC allowances, and gym perks like SilverSneakers.
Click to see details
- Many plans include cleanings, glasses, exams, and hearing aid allowances.
- Extras vary by plan and county—always check the specifics.
Budget-Conscious Seniors
$0 premium options exist (you still pay Part B). Plans come with a yearly out-of-pocket max.
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- MOOP (maximum out-of-pocket) caps your in-network spend each year.
- Copays often replace coinsurance for predictable costs.
People Okay With Network Restrictions
Most plans are HMOs or PPOs. In-network = best pricing; out-of-network may cost more.
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- HMO: pick a PCP and get referrals; out-of-network generally not covered (except emergencies).
- PPO: more flexibility, but out-of-network costs more. Always verify your doctors are in-network.
Those with Chronic Health Needs (Certain Plans Only)
Special Needs Plans (SNPs) tailor benefits for specific conditions or situations.
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- C-SNPs for conditions like diabetes or heart disease; I-SNPs for institutional/LTC settings.
- D-SNPs coordinate with Medicaid for eligible members.
New to Medicare or Switching Plans
IEP, AEP, and MA OEP let you enroll or change when the calendar says go.
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- IEP: 7-month window around your 65th birthday (or disability eligibility).
- AEP: Oct 15–Dec 7 to join, switch, or drop plans; MA OEP: Jan 1–Mar 31 to switch MA plans or go back to Original Medicare.
How Medicare Advantage Works
Four clear steps. Confidence in your coverage.
-
Review Your Eligibility
Confirm you have Part A & B and know which enrollment period applies (Initial, Annual, or Special).
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Compare Plan Options
Review premiums, copays, provider networks, drug coverage, and extra benefits in your area.
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Enroll & Start Coverage
Apply during an eligible period. Coverage usually starts the first of the following month.
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Review Annually
Plans change yearly. Review during the Annual Enrollment Period (Oct 15 – Dec 7) to ensure it still fits your needs.
Explore Medicare Advantage Plans
Medicare Advantage (Part C) plans are offered by private insurers approved by Medicare. Benefits, provider networks, and availability vary by location. You must continue to pay your Part B premium. Enrollment allowed only during designated election periods.
Understanding Key Medicare Advantage Insurance Terms
Get the Most Out of Your Coverage Bundle Add-Ons for Total Protection
Save when you combine health insurance with dental, accident, vision, disability income, and more.
When life throws the unexpected your way, your health plan shouldn’t leave you with a stack of bills. Our supplemental insurance bundles give you cash benefits directly to you so you can focus on healing, not expenses.
Hospitalization Insurance
Pays YOU cash when you’re admitted to the hospital
Up to $2,000 per day for hospital stays use for rent, food, travel, or medical bills
Accident Insurance
Pays a lump sum for covered accidents like fractures, burns, or ER visits
Get up to $20,000 depending on injury severity
Critical Illness Insurance
One-time cash payout if diagnosed with serious conditions like cancer, heart attack, stroke
Up to $100,000 to help you recover without financial stress
Dental & Vision Insurance
Routine cleanings, X-rays, exams, glasses, and contacts
Save on preventive care & eyecare with network discounts
Disability Income Insurance
Replaces a portion of your income if illness or injury keeps you from working
Monthly income payments to help cover living expenses
Get the Most Out of Your Coverage Bundle Add-Ons for Total Protection
Save when you combine health insurance with dental, accident, vision, disability income, and more.
Hospitalization Insurance
Pays YOU cash when you’re admitted to the hospital
Up to $2,000 per day for hospital stays use for rent, food, travel, or medical bills
Accident Insurance
Pays a lump sum for covered accidents like fractures, burns, or ER visits
Get up to $20,000 depending on injury severity
Critical Illness Insurance
One-time cash payout if diagnosed with serious conditions like cancer, heart attack, stroke
Up to $100,000 to help you recover without financial stress
Dental & Vision Insurance
Routine cleanings, X-rays, exams, glasses, and contacts
Save on preventive care & eyecare with network discounts
Disability Income Insurance
Replaces a portion of your income if illness or injury keeps you from working
Monthly income payments to help cover living expenses
Why Bundle?
Extra coverage when your health plan stops short
Cash payouts to help with rent, bills, or recovery
One application, multiple protections
Significant savings when bundled with your core health plan
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Know Your Enrollment Windows
Getting the right health coverage starts with knowing when you can enroll.
At OnePoint Insurance Agency, we guide you through your options whether you’re enrolling for the first time, switching plans, or qualifying due to a life change. Here’s how to take action based on your eligibility:
Open Enrollment (Nationwide)
🗓 Nov 1 – Jan 15
Open Enrollment (Nationwide)
🗓 Nov 1 – Jan 15
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Frequently Asked Questions (FAQs)
What is Medicare Advantage (Part C)?
Medicare Advantage, also known as Medicare Part C, is an all-in-one alternative to Original Medicare. These plans are offered by private insurers approved by Medicare and usually include hospital (Part A), medical (Part B), and prescription drug coverage (Part D). Many also provide extra benefits like dental, vision, and hearing.
Who is eligible for Medicare Advantage?
You’re eligible if you:
Already have Medicare Part A and Part B.
Live in the plan’s service area.
Do not have End-Stage Renal Disease (ESRD), except in certain cases where Special Needs Plans are available.
When can I enroll in a Medicare Advantage plan?
Initial Enrollment Period (IEP): When you first qualify for Medicare at 65 (or due to disability).
Annual Enrollment Period (AEP): October 15 – December 7 each year.
Medicare Advantage Open Enrollment Period: January 1 – March 31 each year (for switching plans or going back to Original Medicare).
Do Medicare Advantage plans cover prescription drugs?
Yes, most Medicare Advantage plans include Part D prescription drug coverage. But not all do, so always double-check before enrolling.
What extra benefits do Medicare Advantage plans offer?
Beyond hospital, medical, and prescription coverage, many plans provide:
Dental exams and dentures
Vision exams and eyeglasses
Hearing tests and hearing aids
Fitness programs (like SilverSneakers)
Wellness perks (telehealth, nurse hotlines, transportation to appointments)
How much does Medicare Advantage cost?
Many plans offer $0 premiums, but you’ll still need to pay your Part B premium. Costs vary depending on the plan and whether you stay in-network for care. You’ll also have a yearly maximum out-of-pocket limit, which Original Medicare doesn’t offer.
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888-899-8117
555 NorthPoint Center E, Alpharetta
Georgia. 30022
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