![]() While original Medicare covers services nationwide, most Medicare Advantage plans are location-based. This amount varies but can range from the low thousands to upward of $10,000-plus. One advantage of Medicare Part C is that all plans have an out-of-pocket maximum. For example, if you’re on an HMO or PPO plan but choose to visit an out-of-network provider, this can increase your costs. The type of plan you choose can also have an impact on how much your Medicare Part C plan may cost. Coinsurance amounts are any percentage of services you must pay out of pocket after your deductible has been met. Copayments are amounts you’ll owe for every doctor’s visit or prescription drug refill. Many (but not all) of the free Medicare Advantage plans offer a $0 plan deductible. Most Medicare Part C plans have both a plan deductible and a drug deductible. Even with a zero-premium Medicare Advantage plan, you may still owe the Part B premium. Some Medicare Part C plans are “free,” meaning they don’t have a monthly premium. Here are some of the most common factors that affect what you’ll pay for a Medicare Part C plan: However, your lifestyle and financial situation can also have an impact on your costs. For more information about Medicare including a complete listing of plans available in your service area, please contact the Medicare program at 1-800-MEDICARE (TTY users should call 1-87) or visit Medicare has neither reviewed nor endorsed this information.Most of your Medicare Part C costs will be determined by the pl a n you choose. Each Blue Cross Blue Shield company is responsible for the information that it provides. To find out about premiums and terms for these and other insurance options, how to apply for coverage, and for much more information, contact your local Blue Cross Blue Shield company. Enrollment in these plans depends on the plan’s contract renewal with Medicare. Medicare Advantage and Prescription Drug Plans are offered by a Medicare Advantage organization and/or Part D plan sponsor with a Medicare contract. Plans are insured and offered through separate Blue Cross and Blue Shield companies. Viewing this Medicare overview does not require you to enroll in any Blue Cross Blue Shield plans. Medicare overview information on this website was developed by the Blue Cross and Blue Shield Association to help consumers understand certain aspects about Medicare. No deductibles, copays or coinsurance are required for Medicare-covered preventive care services, such as annual wellness visits and mammograms for women. You pay 20 percent for some medical services, such as doctor services, outpatient therapy and durable medical equipment. You must first meet an insurance deductible before Part B helps with your medical costs.Ī copayment or cost sharing may apply to specific services, such as those received in an outpatient hospital setting. ![]() It is separate from the health insurance premiums you will pay if you choose Medigap, Medicare Advantage (Part C) or Prescription Drug Coverage (Part D). This premium is commonly paid through Social Security withholdings. Medicare Part B has a monthly insurance premium that is based on when you enroll and your annual household income. ![]() Medicare Part B covers doctor visits, durable medical equipment, speech therapy, occupational therapy, physical therapy, and other outpatient services. ![]()
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