We want you to live your life to the fullest, be active socially and physically, and contribute to your family and the community. Keeping you healthy is essential for reaching these goals.

For many people, we believe that Medicare Advantage plans are the best insurance option to allow us to help you achieve your goals. Medicare Advantage insurance is designed to keep your care organized and coordinated in a personal and comprehensive way.

Why consider a Medicare Advantage plan?

Under Medicare Advantage, all of your benefits* are covered through one insurance company. Medicare Advantage plans provide Part A and Part B with benefits beyond Original Medicare, such as a “hands on” annual physical, gym memberships, vision, dental, and out-of-the-country health coverage. Medicare Advantage plans can be a more cost effective option than purchasing each part of Medicare separately, and often include prescription coverage (Part D).

Our Medicare Advantage patients benefit from The Polyclinic’s Care Advantage Program, a team focused on coordinated and preventive care; chronic condition management; and health and wellness goals.

Understanding the differences between Medicare and Medicare Advantage

Medicare Advantage

Original Medicare + Supplement

Out-of-Pocket Cost and Coverage

  • Yearly out-of-pocket limit
  • Low to no additional premium plans available
  • Must cover all services Original Medicare covers
  • Many plans include optional additional benefits such as dental, vision, hearing, fitness memberships
  • No out-of-pocket limit
  • Low to no additional premium plans available
  • Additional benefits must be purchased; costs add up

Prescription Drugs

  • Often bundled with plan
  • Not included

Provider Choice

  • See any provider in the plan’s network
  • Some plans offer out-of-network coverage
  • See any provider in the US who takes Medicare

Travel Benefits

  • Emergency care is covered in US and sometimes internationally
  • Some include international travel emergency coverage

Wellness Exams and Annual Physicals

  • Welcome to Medicare visit within first 12 months of enrolling in Medicare Part B
  • “Hands off” Annual Wellness Visit
  • Traditional “hands on” annual physical covered by most plans
  • Welcome to Medicare visit within first 12 months of enrolling in Medicare Part B
  • “Hands off” Annual Wellness Visit (AWV)

*Extra benefits vary by plan; not all Medicare Advantage plans offer the complete selection of extra benefits mentioned. Some benefits may be available at an additional premium.

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