How much does Medicare Advantage (Part C) cost?

Medicare Advantage costs typically fall into three categories: premiums, deductibles, and copays. These out-of-pocket costs vary depending on your plan and can change yearly:

• Premiums are the monthly amount you pay for your health plan.

• Deductibles are a set out-of-pocket cost you’re responsible for before your plan covers a service. Sometimes there’s a separate deductible for prescription drug plans.

• Copays are the flat fee you pay when you see a doctor or get a prescription filled. Most copays are small, and some plans may not have them.

The good news is Medicare Advantage (Part C) plans have a yearly out-of-pocket maximum. This limits how much you’ll pay each year. Your spending limit may be higher for out-of-network providers. If your plan includes Medicare Part D prescription drug coverage, there may be a separate deductible for prescriptions. Those costs won’t count toward your out-of-pocket maximum.

Note: You must also continue to pay your Medicare Part A ($0 for most people) and Part B premiums after you enroll in a Medicare Part C plan.

Medicare Advantage covers everything Original Medicare (Parts A and B) does. It also comes with additional benefits, such as:

• Prescription drug coverage (Part D).
• Routine dental care including cleanings and X-rays.
• Routine vision care including contacts and glasses.
• Routine hearing care, including hearing aids.
• Fitness programs, including exercise classes.

Most Medicare Advantage (Part C) plans also include:

• No medical deductible
• Low, fixed copayments
• No or low coinsurance (percentage of cost)
  

Anyone enrolled in Original Medicare (Parts A and B) can get a Part C plan. You’ll need to find a Medicare Advantage plan offered during your enrollment period that fits your needs and budget.

Wellpoint offers different Medicare Advantage plan types. Find more information about how to compare and find the right Medicare Advantage plan for you.