Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered.
You generally are also responsible for paying the Part B premium. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs.
The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums. Notes: Data are subject to change as contracts are finalized. For , enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit. Includes approved contracts. With a health maintenance organization HMO you will be required to receive most of your health care from an in-network provider.
Health maintenance organizations require that you select a primary care physician PCP. Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you need special care for a physician specialist, your primary care physician will make the arrangements and tell you where you can go in the network. You will need your PCPs okay, called a referral. Without getting a referral or services received from out-of-network providers are not typically covered by the plan.
With Medicare Advantage your always covered for urgently needed and emergency care and you receive all of the benefits of Original Medicare from Universal American, A WellCare Company except hospice care.
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