Medicare Advantage Plans Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Medicare Advantage Plans Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is a Medicare Advantage Plan? A private insurance plan that replaces Original Medicare Who offers Medicare Advantage Plans? Private insurance companies approved by Medicare What parts of Medicare are included in Medicare Advantage? Part A and Part B Do most Medicare Advantage Plans include drug coverage? Yes, many include Part D When can someone first join a Medicare Advantage Plan? During their initial Medicare enrollment period What happens to Original Medicare when someone enrolls in Medicare Advantage? It is replaced by the Advantage Plan Do Medicare Advantage Plans require paying the Part B premium? 2 Yes Can Medicare Advantage Plans have monthly premiums? Yes, some do What type of providers do Medicare Advantage Plans use? A network of doctors and hospitals What is an HMO Medicare Advantage Plan? A plan that requires using network providers What is a PPO Medicare Advantage Plan? A plan that allows some out-of-network care Do Medicare Advantage Plans cover emergency care anywhere? Yes What is a referral in a Medicare Advantage Plan? Permission to see a specialist Do all Medicare Advantage Plans require referrals? No 3 What is an out-of-pocket maximum? The most you pay in a year for covered services Do Original Medicare plans have an out-of-pocket maximum? No What extra benefits do many Medicare Advantage Plans offer? Vision, dental, or hearing Can Medicare Advantage Plans change their benefits yearly? Yes Who approves Medicare Advantage Plan coverage rules? Medicare What is the annual election period? A time to change Medicare plans When does the annual election period occur? Every fall 4 Can someone switch Medicare Advantage Plans during the annual election period? Yes What happens if someone does not choose a Medicare Advantage Plan? They stay in Original Medicare Are Medicare Advantage Plans required to cover everything Original Medicare covers? Yes Can Medicare Advantage Plans require prior authorisation? Yes What is prior authorisation? Approval before receiving certain services Do Medicare Advantage Plans cover preventive services? Yes What is a Special Enrollment Period? A time to change plans after certain events