How Medicare Advantage (Part C) Works
A bundled alternative to Original Medicare with added benefits
Medicare Advantage Plans (also known as Part C) are offered by private insurance companies that contract with Medicare. These plans provide the same benefits as Original Medicare — including Part A (hospital insurance) and Part B (medical insurance) and often include additional perks like vision, dental, hearing, and prescription drug coverage.
Many Nebraska residents find that a Medicare Advantage Plan fits their budget better than Original Medicare. These plans typically have different provider networks, costs, and rules than traditional Medicare coverage.
Choosing the Right Medicare Advantage Plan
We'll help you compare plans and find the best fit for your needs.
At BK Senior Solutions, we take the time to understand your healthcare needs, budget, and provider preferences before making any recommendations. Medicare Advantage plans can vary by ZIP code, and we’re here to walk you through your options and help avoid common mistakes.
✔️ Independent, unbiased guidance
✔️ Local, licensed agents
✔️ One-on-one consultations at no cost
Have questions about choosing a plan?
Understanding Medicare Advantage coverage and limits
Learn how these plans are structured, what they cover, and how to compare your options.
Types of Medicare Advantage Plans
- Health Maintenance Organization (HMO) - You choose doctors from a set network and usually need referrals to see specialists.
- Preferred Provider Organization (PPO) – You’ll have more flexibility to see providers outside your plan’s network, often at a higher cost.
- Private Fee-for-Service (PFFS) – You can visit any Medicare-approved provider who agrees to the plan’s terms.
- Special Needs Plans (SNPs) – Tailored for people with specific health conditions or limited incomes.
What to Expect with a Medicare Advantage Plan
- Your plan must provide at least the same coverage as Original Medicare.
- There’s a yearly cap on your out-of-pocket costs for covered services.
- You still get Part A and Part B benefits through the plan.
- You may also receive extra benefits like hearing, dental, vision, and fitness memberships.
Important Reminders About Provider Networks
🔷 Your doctor or provider must be in-network for services to be covered
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Provider networks can change, so it’s a good idea to review your plan each year.
Medicare Advantage vs. Original Medicare
Still deciding between Medicare Advantage and Original Medicare?
Original Medicare:
- Federally managed
- No provider networks
- Add-ons like Part D (prescriptions) and Medigap sold separately
- Typically higher out-of-pocket costs
Medicare Advantage (Part C)
- Offered by private insurers
- Includes built-in prescription drug coverage on many plans
- Lower monthly premiums, but higher co-pays for visits
- Must use plan’s provider network in most cases
Want help weighing your options? Talk to a Local Licensed Medicare Agent in Lincoln, Nebraska
We'll help you make a confident, informed choice about your Medicare coverage.