Ohio Medicare Advantage Health Plans for Seniors

About Medicare Advantage Health Plans in Ohio

Ohio Medicare Advantage Plans are health plan options (like an HMO or PPO) approved by Medicare and offered by private companies. These plans are part of Medicare and are sometimes called “Part C” or “MA Plans.” Medicare pays a fixed amount for your care every month to the companies offering Medicare Advantage Plans. These companies must follow rules set by Medicare.  Medicare Advantage Plans provide your Medicare health coverage and usually Medicare drug coverage. They aren’t supplemental insurance. Not all Medicare Advantage Plans work the same way, so find out the plan’s rules before joining.

As with Original Medicare, you still have Medicare rights and protections, including the right to appeal. Check with the plan before you get a service to find out whether they will cover the service and what your costs may be. You must follow plan rules, like getting a referral to see a specialist or getting prior approval for certain procedures to avoid higher costs. Check with the plan. You can join a Medicare Advantage Plan even if you have a pre-existing condition, except for End-Stage Renal Disease. In most cases, you are enrolled in a plan for a year. If you see a doctor who doesn’t belong to the plan, your services may not be covered, or your costs could be higher, depending on the type of Medicare Advantage Plan. If the plan decides to stop participating in Medicare, you will have to join another Medicare health plan or return to Original Medicare.

Medicare Advantage Health Plans in Ohio