Medicare Advantage Plans are a type of Medicare health plan offered by a private company that contracts with Medicare to provide all your Part A and Part B benefits. Most Medicare Advantage Plans also offer prescription drug coverage. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan. Your Medicare services aren’t paid for by Original Medicare. For More Information about Medicare Advantage Plans Just call us on (843) - 681 – 7400 or visit us on https://schealthbenefits.com/medicare/advantage-part-c/

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2. Medicare Advantage Plans
• Medicare Advantage Plans are a type of Medicare health plan
offered by a private company that contracts with Medicare to
provide all your Part A and Part B benefits. Most Medicare
Advantage Plans also offer prescription drug coverage. If
you’re enrolled in a Medicare Advantage Plan, most Medicare
services are covered through the plan. Your Medicare services
aren’t paid for by Original Medicare.
• Here’s some FAQs for you about South Carolina Medicare
Advantage Plans.
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3. Frequently Asked Questions About
Medicare Advantage Plan
• How to join a Medicare Advantage Plan?
• Who can join a Medicare Advantage Plan?
• When can I join, switch, or drop a Medicare
Advantage Plan?
• What if my plan decides to stop participating in
Medicare?
• What if I have End-Stage Renal Disease (ESRD)?
• How do Medicare Advantage Plans work?
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4. How to join a Medicare Advantage
Plan?
• Not all Medicare Advantage Plans work the same way. Before
you join, take the time to find and compare Medicare health
plans in your area. Once you understand the plan's rules and
costs, here's how to join:
o Use Medicare's Plan Finder.
o Visit the plan's website to see if you can join online.
o Fill out a paper enrollment form. Contact the plan to get
an enrollment form, fill it out, and return it to the plan.
All plans must offer this option.
o Call the plan you want to join. Get your plan's contact
information.
o Call us at 1-800-985-8111.
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5. Who can join a Medicare Advantage
Plan?
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• You can generally join one of these Medicare Advantage plans:
o Health Maintenance Organization (HMO)
o Preferred Provider Organization (PPO)
o Private Fee-for-Service (PFFS)
o Medical Savings Account (MSA) Plan
• If all of these apply:
o You live in the service area of the plan you want to join. The plan
can give you more information about its service area. If you live
in another state for part of the year, ask if the plan will cover you
there.
o You have Medicare Part A and Part B.
o You don't have End-Stage Renal Disease (ESRD)

6. When can I join, switch, or drop a
Medicare Advantage Plan?
• How to switch: If you're already in a Medicare Advantage
Plan and want to switch, follow these steps:
o To switch to a new Medicare Advantage Plan, simply join
the plan you choose during one of the enrollment
periods. You'll be disenrolled automatically from your old
plan when your new plan's coverage begins.
o To switch to Original Medicare, contact your current plan,
or call us at 1-800-985-8111.
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7. • Unless you have other drug coverage, you should carefully
consider Medicare prescription drug coverage (Part D). You
may also want to consider a Medicare Supplement Insurance
(Medigap) policy. Remember, you may only be able to switch
at certain times of the year.
• If you have other coverage
o Talk to your employer, union, or other benefits
administrator about their rules before you join a Medicare
Advantage Plan. In some cases, joining a Medicare
Advantage Plan might cause you to lose employer or union
coverage. If you lose coverage for yourself, you may also
lose coverage for your spouse and dependents.
o In other cases, you may still be able to use your employer or
union coverage along with the Medicare Advantage plan
you join. Remember, if you drop your employer or union
coverage, you may not be able to get it back.
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8. What if my plan decides to stop
participating in Medicare?
• At the end of the year, plans can decide to leave the Medicare
Program. If your plan leaves, you'll get a letter explaining your
options.
• Generally, you'll be automatically returned to Original
Medicare if you don't choose to join another Medicare
Advantage Plan. You will also have the right to buy a Medigap
policy.
• No matter what you choose, you're still in the Medicare
Program and will get all Medicare-covered services. If you
choose to go back to Original Medicare, you need to decide if
you want drug coverage. If so, you need to join a Medicare
Prescription Drug Plan (Part D).
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9. What if I have End-Stage Renal
Disease (ESRD)?
• If you have ESRD, you'll usually get your health care
through Original Medicare. You can only join a Medicare
Advantage Plan (Part C) in certain situations, like these:
o You're already in a Medicare Advantage Plan when you
develop ESRD. You may be able to stay in your plan or join
another plan offered by the same company.
o You’re already getting your health benefits (for example,
through an employer health plan) through the same
organization that offers the Medicare Advantage Plan.
o You may be able to join a Medicare Special Needs Plan
(SNP) for people with ESRD if one is available in your area.
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10. o You had ESRD, but have had a successful kidney transplant,
and you still qualify for Medicare benefits (based on your
age or a disability). You can stay in Original Medicare, or
join a Medicare Advantage Plan.
• You have a one-time right to join another plan if both of these
are true:
o You have ESRD and are in a Medicare Advantage Pla
o The plan leaves Medicare or no longer provides coverage
in your area
• You don't have to use your one-time right to join a new plan
immediately.
• If you go directly to Original Medicare after your plan leaves
or stops providing coverage, you'll still have a one-time right
to join a Medicare Advantage Plan later.
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11. How do Medicare Advantage Plans
work?
• Medicare Advantage Plans, sometimes called "Part C" or "MA
Plans," are an “all in one” alternative to Original Medicare.
They are offered by private companies approved by
Medicare. If you join a Medicare Advantage Plan, you still
have Medicare. These "bundled" plans include Medicare Part
A (Hospital Insurance) and Medicare Part B (Medical
Insurance), and usually Medicare prescription drug (Part D).
• Find Medicare Advantage Plans in your area.
• For more information in detail contact us on Toll Free
number: 800-985-8111
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Contact US For South Carolina Medicare
Advantage Plans
61 Arrow Rd. Suite F
Hilton Head Island, SC 29928
(843) 681-7400
Toll Free: 800-985-8111
ashley@schealthbenefits.com

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