Benefits you want, at no extra cost

If you have Medicare and Medicaid, you could get extra money to buy healthy food, OTC products, and pay utility bills like electric, gas, water and internet. Plus, you’ll get additional benefits for a $0 or low plan premium.

Features and benefits may include:

Food, OTC, Utilities

Money  to buy healthy food and over-the-counter products and pay utility bills.

Prescription drug coverage

Medicare Prescription Drug plans cover your prescription drug costs for covered medications.

Dental and Vision

Medicare Advantage (Part C) plans can offer coverage for dental and vision health items.

Contact us if you have Medicare and Medicaid

You may qualify to receive a monthly benefit to buy healthy food, OTC products, and pay utility bills with a Medicare Advantage plan.

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What are Medicare Advantage Plans?

Medicare Advantage, also called Medicare Part C, a Medicare Advantage plan is a type of Medicare plan that will provide you with all your Medicare Part A and Part B benefits, but can include additional coverage such as prescription drug, dental, vision, health wellness, and non-medical benefits.

  • Non-Medical benefits are an important factor to consider when you're choosing a Medicare Advantage Plan.
  • Non-Medical benefits can help you balance your primary medical needs with your household, social and financial needs.

These non-medical benefits, sometimes called supplemental benefits, are designed to address your total wellness picture—multiple aspects of your health, security, and emotional well-being. They balance your primary medical needs with other needs such as good nutrition, transportation, and companionship. Non-medical services help ensure you have the supports in place to live a functional and independent life.

Benefits may include, a food allowance and grocery benefits, utility payments, transportation, a Part B rebate, or over-the-counter items. Most also include prescription drug coverage as well as other benefits such as hearing health coverage and gym

These benefits are available only from some Medicare Advantage plans. You must meet eligibility requirements before receiving them, they aren't issued automatically, and they aren't part of original Medicare.

To compare the costs and benefits of different Medicare Advantage plans, you can visit our Medicare Plan Finder, a searchable tool to find plans in your area instantly.

Compare Original Medicare & Medicare Advantage

Consider these things when deciding between Original Medicare and a Medicare Advantage Plan for your health coverage:

Doctor & hospital choice

Original Medicare:

Medicare Advantage:

You can go to any doctor or hospital that takes Medicare, anywhere in the U.S.

In most cases, you can only use doctors and other providers who are in the plan’s network and service area (for non-emergency care).

In most cases you don’t need a referral to see a specialist.

You may need to get a referral to see a specialist.

Cost

Original Medicare:

Medicare Advantage:

For Part B-covered services, you usually pay 20% of the Medicare-approved amount after you meet your deductible. This amount is called your coinsurance


Out-of-pocket costs vary – plans may have lower or higher out-of-pocket costs for certain services.

You pay a premium (monthly payment) for Part B If you choose to join a Medicare drug plan, you’ll pay a separate premium for your Medicare drug coverage (Part D)

You pay the monthly Part B premium and may also have to pay the plan’s premium. Some plans may have a $0 premium and may help pay all or part of your Part B premium. Most plans include Medicare drug coverage (Part D).

There’s no yearly limit on what you pay out-of-pocket, unless you have supplemental coverage – like Medicare Supplement Insurance (Medigap)

Plans have a yearly limit on what you pay out of pocket for services Medicare Part A and Part B cover. Once you reach your plan’s limit, you’ll pay nothing for services Part A and Part B covers for the rest of the year.

You can get Medigap to help pay your remaining out-of-pocket costs (like your 20% coinsurance). Or, you can use coverage from a former employer or union, or Medicaid.

You can’t buy and don’t need Medigap.

Coverage

Original Medicare:

Medicare Advantage:

Original Medicare covers most medically necessary services and supplies in hospitals, doctors’ offices, and other health care facilities. Original Medicare doesn’t cover some benefits like eye exams, most dental care, and routine exams.

Plans must cover all medically necessary services that Original Medicare covers. Plans may also offer some extra benefits that Original Medicare doesn't cover - like vision, hearing, and dental services.

You can join a separate Medicare drug plan to get Medicare drug coverage (Part D).

Medicare drug coverage (Part D) is included in most plans. In most types of Medicare Advantage Plans, you can't join a separate Medicare drug plan.

In most cases, you don’t have to get a service or supply approved ahead of time for Original Medicare to cover it.

In many cases, you have to get a service or supply approved ahead of time for the plan to cover it.

Foreign travel

Original Medicare:

Medicare Advantage:

Original Medicare generally doesn’t cover medical care outside the U.S. You may be able to buy a Medicare Supplement Insurance (Medigap) policy that covers emergency care outside the U.S.

Plans generally don’t cover medical care outside the U.S. Some plans may offer a supplemental benefit that covers emergency and urgently needed services when traveling outside the U.S.

What do you want to do next?

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So we can serve you better, we have a few quick questions for you.

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By clicking “Submit” or "Next" above: (1) I agree to receive marketing and other calls, texts and emails, sent to my contact information as entered in this form from Lehigh Partners Senior Benefits, their licensed and other agents/representatives, including by autodialer/pre-recorded message, on a recorded line, even if my number is on a “Do Not Call” list. This consent is voluntary and not required as a condition to buy anything, and can be revoked by calling our  833-265-9655; and (2) I consent and agree to all terms found in the Privacy Policy. If you are Medicare-eligible, a licensed sales agent will contact you about Medicare plan options including Medicare Advantage, Medicare supplement and Prescription Drug plans by phone or email. Submitting this form does NOT affect your current Medicare Part A and Part B enrollment, nor will it enroll you in a Medicare Advantage Plan, Prescription Drug Plan, or other Medicare plan.

I/We do not offer every plan available in your area. Any information I/we provide is limited to the plans I/we do offer in your area. Please contact Medicare.gov or 1-800-Medicare to get information on all of your options


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