Medicare advantage is the new version of the Medicare with choice plan. This policy covers for both part A and B of the Medicare and is offered by private companies approved by the Federal Government. They are in the supervision of the CMS, a governmental organization that coordinates the activities of the Medicare and Medicaid in the states.
Sometimes, the Medicare offers coverage to the prescription drugs along with the coverage to both parts A and B. If one has got a Medigap policy and then applies for an Advantage, the Medigap stands cancelled and hence that should not be done.
The following are the types of plans in the Medicare advantage in the state of Virginia:
The eligibility for part C is based on the enrollment in Parts A and B or else the same eligibility norms unless if the enrollee has an end stage renal disease. Moreover the person must live in the service coverage to avail it.
If there are any other health insurance coverages such as the employers insurance, the applicant has to sort out the issues before applying for the insurance.
This varies based on the private insurance provider. One is eligible to apply for this in a period of seven months starting from three months before one’s 65th birthday.
In case of people younger than 65, they are eligible right from the 25th month of receiving their social security benefits. If a person already has got both parts A and B, he has to wait till the annual enrollment (Oct 15 – Dec 7) so as to complete the registration and the coverage starts from the first January of the following year.
In case one needs to change the plan for reasons such as moving out of the coverage area, he is allowed to do that during Jan 1 – Feb 14 window.
The number of people enrolled in the part C plan in the state of Virginia is 153, 348 with a growth rate of 5% during the 2010-11 period.