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Medicare Advantage Plans in Virginia

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How Medicare Advantage works in Virginia

Many Virginians get their Medicare benefits through the government program called Original Medicare (Part A and Part B). But you may not have to get your coverage that way. Read on to learn about Medicare Advantage plans in Virginia.

Medicare Advantage (also called Medicare Part C) is designed to let beneficiaries get their Medicare Part A and Part B coverage through a private insurance company that contracts with Medicare. (Hospice services are still covered under Part A even if you’re enrolled in a Medicare Advantage plan.)

Many Medicare Advantage plans offer other benefits as well, such as routing hearing care, vision care, wellness programs, and prescription drug benefits.

Medicare Advantage is legally required to provide the same amount of coverage as Original Medicare. These plans may also deliver extra benefits that you wouldn’t get through Original Medicare, like dental, routine vision, and prescription drug coverage.

There are several types of Medicare Advantage plans, including Special Needs Plans (SNPs), which are designed around specific illnesses and situations. Other types of Medicare Advantage plans include Health Maintenance Organization (HMO) plans and Preferred Provider Organization (PPO) plans.

Medicare Advantage prescription drug coverage in Virginia

Some Medicare Advantage plans combine prescription drug coverage with health insurance. These are called Medicare Advantage Prescription Drug plans. With this kind of plan, you can get all your Medicare benefits through just one plan.

Please note that you still have to keep paying your Medicare Part B premium even when you’re enrolled in a Medicare Advantage plan.

Comparing Medicare Advantage plans in Virginia

When looking to enroll in a Medicare Advantage plan, you might want to weigh plan costs against total benefits. Plans with lower monthly premiums sometimes charge higher deductibles, copayments, and coinsurance.

If you’re interested in a particular Medicare Advantage Prescription Drug plan, you may want to review the plan’s formulary. It lists out all of the plan’s covered prescription medications as well as your copayment for each; costs can vary among plans. You might be able to find a plan that covers your prescriptions. The formulary may change at any time. You will receive notice from your plan when necessary.

Not every Medicare Advantage plan may be available in your county of Virginia. Just enter your zip code where indicated on this page to find out what plan options are offered in your area.

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