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Medicare Advantage Benefits Beyond Original Medicare

Many Medicare Advantage plans offer these additional benefits, helping you choose coverage that better fits your healthcare needs.

Talk to a Licensed Agent: (302) 407-0876

Medicare Advantage plans can include benefits beyond what Original Medicare covers, and many of those services matter for everyday health. Original Medicare covers hospital and medical care, while Medicare Advantage plans may include benefits such as dental, vision, hearing, prescription drug coverage, transportation, and over-the-counter allowances. Whether Medicare Advantage is a better fit depends on your specific healthcare needs.

Learn More About Medicare Advantage Plans With Benefits Beyond Original Medicare

Compare plans available in your area with help from a licensed insurance agent.

Speak with a licensed insurance agent at no cost or obligation

Call (302) 407-0876

Do Medicare Advantage Plans Include Benefits That Original Medicare Doesn't Cover?

Original Medicare includes Part A and Part B benefits. Many people choose Medicare Advantage plans because they include Part A and Part B benefits and may also include additional benefits beyond Original Medicare.

What Preventive Services Does Medicare Cover?

Medicare preventive services include annual wellness visits, cancer screenings, diabetes screenings, vaccines, and other essential preventive care. These services may help detect health problems early, improve treatment outcomes, and reduce long-term healthcare costs. Many preventive services covered by Medicare are available at low or no cost, making it easier to stay healthy year-round.

Wellness Visits

Yearly check-ins to review your health and update your care plan.

Screenings

Tests that help catch developing health problems early.

Vaccines

Immunizations that help protect you from preventable illness.

Counseling

Guidance and support for healthier daily habits.

Medicare Chronic Care Management Services

Medicare Advantage Chronic Condition Special Needs Plans (C-SNPs) may include specialized support for people with qualifying chronic conditions, such as diabetes, heart disease, and other cardiovascular disorders.

C-SNPs may provide coordinated care, chronic disease management programs, and personalized treatment plans to help improve long-term health outcomes and reduce complications.

Many Medicare C-SNPs may also include valuable extra benefits, such as care coordination services, over-the-counter (OTC) allowances, and healthy food allowances for plans that offer them. These additional benefits make it easier for beneficiaries to manage conditions, stay on track with treatment, and maintain a better quality of life. Availability of these extra benefits depends on the specific plan and whether you meet the plan's eligibility criteria.

Prescription Drug Coverage: Medicare Part D and Medicare Advantage Plans

Part D prescription drug coverage may be an important benefit not covered by Original Medicare. Medicare Part D and many Medicare Advantage plans may help cover the cost of prescription medications.

While some drugs are not covered, these plans can significantly reduce out-of-pocket costs and help beneficiaries access covered medications.

Dental, Vision, and Hearing Benefits in Medicare Advantage Plans

Many Medicare Advantage plans include routine dental and/or vision care. Original Medicare does not usually cover these benefits.

Medicare Advantage Plans May IncludeOriginal MedicareMedicare Advantage
DentalNo routine dentalCleanings, X-rays, dentures
VisionNo exams or glassesExams, glasses, contacts
HearingNo exams or hearing aidsExams & hearing aids
Prescription DrugsSeparate Part D requiredUsually included
Transportation to Approved LocationsNot coveredLimited rides included

Medicare Advantage Transportation, OTC, and Healthy Grocery Benefits

Some Medicare Advantage plans offer extra benefits such as transportation to doctor appointments and/or an OTC allowance for plan-approved everyday health items. For Medicare beneficiaries with qualifying chronic conditions, some Medicare Advantage Chronic Condition Special Needs Plans (C-SNPs) may include a healthy food allowance benefit.

These benefits can help reduce out-of-pocket healthcare costs. Coverage and eligibility vary by plan and location, so it's important to compare Medicare Advantage plans to find the benefits that best fit your healthcare and lifestyle needs.

Medicare Advantage Fitness Benefits: Gym Memberships and Wellness Programs

Many Medicare Advantage plans include fitness benefits such as gym memberships. These fitness benefits are designed to help improve strength, balance, and overall wellness, while supporting an active and healthy lifestyle.

SilverSneakers is a fitness program for older adults that some Medicare Advantage plans include. It typically offers access to a network of participating gyms and fitness locations, along with group classes and online workout options.

How Medicare Advantage Protects You From High Out-of-Pocket Costs

Medicare Advantage plans include an annual out-of-pocket maximum, which limits how much you pay for covered healthcare services each year. Once you reach this limit, your plan may pay 100% of covered services for the rest of the year, providing important financial protection against high medical costs.

In addition to out-of-pocket limits, many Medicare Advantage plans may offer predictable healthcare costs through low or $0 monthly plan premiums, fixed copayments, and all-in-one coverage that may include hospital, medical, prescription drug, and extra benefits.

These features make Medicare Advantage a popular option for individuals looking to manage healthcare expenses while maintaining comprehensive coverage.

Frequently Asked Questions About Medicare Advantage Plan Coverage Beyond Original Medicare

Depending on the plan, Medicare Advantage may include dental, vision, and hearing coverage, prescription drug coverage, fitness program access, transportation assistance, and OTC allowances.

Choosing the Right Medicare Coverage for You

Exploring Medicare Advantage plans and their benefits beyond Original Medicare can help you make smarter healthcare decisions and reduce overall costs.

Medicare Advantage plans may offer a wide range of benefits, including preventive care, prescription drug coverage, dental, vision, hearing, and/or fitness benefits. By understanding your Medicare coverage options, you can choose a plan that best fits your healthcare needs and helps you get the most value from your benefits.

Find Medicare Plans That Include Dental, Vision, and Possibly More

Speak with a licensed insurance agent today. No cost and no obligation to you.

Speak with a licensed insurance agent at no cost or obligation

Call (302) 407-0876