Medicare Advantage

Medicare Advantage, also referred to as Medicare Part C, embodies a comprehensive approach to healthcare coverage. These plans serve as primary insurance, administered by private insurance companies, integrating all aspects of Medicare Parts A and B, often including Part D prescription drug coverage. A distinguishing feature of Medicare Advantage plans, when compared to Original Medicare, is the provision of a maximum out-of-pocket limit (MOOP) that caps annual medical and hospital expenses. Additionally, these plans commonly offer supplementary benefits beyond those provided by traditional Medicare.

Individuals enrolled in both Medicare and Medicaid (commonly known as Forward Health or BadgerCare) may qualify for a specialized type of Medicare Advantage plan known as a Dual Special Needs Plan (Dual-SNP). Tailored to the needs of dual enrollees, these plans offer a plethora of additional benefits.

Moreover, individuals with chronic conditions such as diabetes or cardiovascular disorders may be eligible for a Chronic Special Needs Plan (Chronic SNP). These Medicare Advantage plans are specifically designed to address the needs of individuals with qualifying chronic illnesses, potentially offering reduced costs for medical care and prescription drugs associated with the chronic condition.