Although Medicare Part C plans have both cost and coverage benefits, they also have serious drawbacks. With Medicare Part C managed care plans, the limits on which providers you can see may be the most important. If you want to consult a doctor who's not in the plan's network, you'd have to pay some or all of the cost yourself. (This is less of a problem with large managed care plans, especially in urban areas. That's because most doctors participate in the networks of the big managed care plans.)
If you're considering a Medicare Part C managed care plan, one of your first steps should be to see if your regular doctors are in the plan's network. If not, and you want to stay with your doctors, that plan isn't a good one for you.
If you're considering a Medicare Part C fee-for-service plan, ask your regular doctors if they have any experience with the plan, and if so whether they usually accept the plan's terms and payments. If not, that plan may not be right for you.
Another problem with a Medicare Part C managed care plan can arise if you want to see a specialist. If the Medicare Part C managed care plan itself decides the specialist isn't necessary, you'd have to pay for the visit out of your own pocket. Likewise, if the plan decides certain care not provided by your primary care doctor -- for example, extensive physical therapy or home healthcare -- isn't necessary, the plan won't pay for it even if a doctor prescribes it.
There might also be a problem with a Medicare Part C plan if you often spend time in more than one place -- traveling, at a second home, or staying with other family members. Coverage by a Medicare Part C plan is usually limited to the region where you live. Outside the region, you'd be responsible for some or all nonemergency bills.
Finally, there's the risk that you'll be dropped from a Medicare Part C plan. Over the past few years, many people with a Medicare Part C plan have suddenly found themselves without coverage when the plan decided to stop operations in their region. Plans regularly pull out of areas where their profits aren't making them happy. If you're dropped in this way, you aren't completely out of luck -- some other options are available -- but scrambling for other coverage can be difficult.
just keep me in your prayers that GOd will provide with the way things are goinfg now it's just getting worst and know one wnts to help or even give you any information to help you out. someone email me with worthly information that will help me help my father. thanks
i need some help financially and some knowledge on taking care of my father who i 98 years old and has alzhemeirs and is now wearing depends he doesn't know how to use the bath room /toliet anymore i really need someone to help me with this situation and i will not put him in a home but i still do ned some time to myself and still take care of him too.
Yes, again another helpful article. I learned the difference between A, B, C plans for Medicare. Thank you
this website helped me very much. thanks
Please send me amount of medicare c.
Helpful but I wish you had discussed who PAYS FOR medicare advantage plans. And also discuss whether they are worth the amount of taxpayer money that goes to private insurance companies rather than medicare itself or medicare providers.
MEDICARE SHOULD COVER ACTOPUNCHERS, REALLY HELP PEOPLE ,AND SAVE MONEY
It will take me several reads to get through all this info, but it's very helpful in sorting out fact from the fiction pushed at us by health insurance companies.