Medicare Advantage Plans

Is a Medicare Advantage Plan right for you?

What is Medicare Advantage
  • Are you enrolled in Original Medicare (Parts A and B)?
  • Do you want the simplicity of fewer bills to pay?
  • Wouldn’t you like to keep premiums and copays as low as possible?
  • Do you want to combine medical and prescription coverage in one easy plan?
  • Don’t you want access to benefits that Original Medicare doesn’t cover like extra dental and vision?

Medicare Advantage Part C Plans

Medicare Advantage Plans work like traditional HMOs and PPOs. You may already be familiar with these types of plans. We also offer Special Needs plans for those who qualify with a chronic illness as well as both Medicare and Medicaid. All our Medicare Advantage Plans come with preventive care benefits to help keep you healthy and on the go.

With Optimum HealthCare’s HMOs, you benefit from our leading network of HMO doctors and care providers. We offer plans with monthly premiums as low as $0, with low co-pay doctor visits as well. On an HMO plan, you’ll choose a primary care physician (PCP) who you’ll see for all your check-ups and regular exams. Your PCP also directs you to the right specialists when you need them.

HMO

Health Maintenance Organization

SNP

Special Needs Plan

Optimum HealthCare’s Dual Eligible & Chronic Special Needs Plans (DSNP/CSNP) are specifically designed for people with both Medicare and Medicaid or a chronic illness (respectively). Special Needs Plans are there to help you manage your health or health conditions. They’re HMO plans with prescription drug coverage that’s included. So, you’ll get Medicare coverage and prescription drug coverage, plus lots of additional benefits to help keep you healthy. Most plans have premiums for $0 with no medical copays or deductibles.

PFFS plans let you see any doctor who accepts the plans payment. However, it is important to note that not all doctors accept all PFFS Plans.

Optimum HealthCare does not currently offer PFFS plans.

PFFS

Private-Fee-For-Service

PPO

Preferred Provider Organization

With PPO plans, you’ll still pick a primary care physician for check-ups, but you can also choose to see any doctor or specialist in your network without needing a referral. PPO’s let you see any doctor, but you pay less if you see plan-approved doctors.

Optimum HealthCare does not currently offer PPO plans.

Medicare Advantage Plans: Part C

Medicare Part C is also called Medicare Advantage (MA). Medicare Advantage Plans include all the benefits of Parts A and B, which cover hospital and medical costs. Most MA plans also include Medicare Part D (prescription drug coverage). These plans combine health insurance and prescription drug coverage in one convenient and low-cost plan.

What is Medicare Advantage

Optimum HealthCare offers plans with premiums as low as $0. You’ll also enjoy peace of mind with hearing, vision and comprehensive dental benefits for Medicare-eligible that is built right into the plan to help with the things Original Medicare doesn’t cover.

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Last updated 10/01/2023