Can you have Medicare and Medicare Advantage?

Asked by: Dr. Lorena Hartmann MD  |  Last update: February 11, 2022
Score: 5/5 (49 votes)

If you join a Medicare Advantage Plan, you'll still have Medicare but you'll get most of your Part A and Part B coverage from your Medicare Advantage Plan, not Original Medicare. You must use the card from your Medicare Advantage Plan to get your Medicare- covered services.

Can you have Medicare and Medicare Advantage at the same time?

People with Medicare can get their health coverage through either Original Medicare or a Medicare Advantage Plan (also known as a Medicare private health plan or Part C).

Which two Medicare plans Cannot be enrolled together?

You generally cannot enroll in both a Medicare Advantage plan and a Medigap plan at the same time.

Can you switch back and forth between Medicare and Medicare Advantage?

Since Medicare Advantage is plenty different from Original Medicare, you're entitled to a risk-free trial during your first year in the Medicare Advantage program. At any point during your first year in a Medicare Advantage plan, you can switch back to Original Medicare without penalty.

Does Medicare Advantage cancel Medicare?

You can disenroll from or cancel your current Medicare Advantage plan and return to Original Medicare (Medicare Part A and Part B). If you choose to go through Medicare Advantage disenrollment and return to Original Medicare, you also have the option of enrolling in a Prescription Drug Plan (Part D) during this period.

Original Medicare vs Medicare Advantage

16 related questions found

Do you have to pay for Medicare Part D if you have a Medicare Advantage plan?

Most people only pay their Part D premium. ... You'll also have to pay this extra amount if you're in a Medicare Advantage Plan that includes drug coverage. This doesn't affect everyone, so most people won't have to pay an extra amount.

When can I switch my Medicare Advantage plan?

Anyone can change their Medicare Advantage Plan during their Initial Enrollment Period, Open Enrollment or Medicare Advantage Open Enrollment. Open Enrollment occurs every year from October 15 to December 7. Medicare Advantage Open Enrollment lasts from January 1 through March 31 each year.

What is the difference between a Medicare Supplement and an Advantage plan?

Medicare Supplement insurance plans work with Original Medicare, Part A and Part B, and may help pay for certain costs that Original Medicare doesn't cover. ... In contrast, Medicare Advantage plans are an alternative to Original Medicare. If you enroll in a Medicare Advantage plan, you're still in the Medicare program.

Can I change Medicare plans anytime?

If you're covered by both Medicare and Medicaid, you can switch plans at any time during the year. This applies to Medicare Advantage as well as Medicare Part D.

Does traditional Medicare have a maximum out of pocket?

There is no limit on out-of-pocket costs in original Medicare (Part A and Part B). Medicare supplement insurance, or Medigap plans, can help reduce the burden of out-of-pocket costs for original Medicare. Medicare Advantage plans have out-of-pocket limits that vary based on the company selling the plan.

Is Medicare Advantage more expensive than Medicare?

Clearly, the average total premium for Medicare Advantage (including prescription coverage and Part B) is less than the average total premium for Original Medicare plus Medigap plus Part D, although this has to be considered in conjunction with the fact that an enrollee with Original Medicare + Medigap will generally ...

Can I have an advantage plan and a supplemental plan?

If you already have Medicare Advantage plan, you can generally enroll in a Medicare Supplement insurance plan under one condition – your Medicare Advantage plan must end before your Medicare Supplement insurance plan goes into effect.

Is Medicare Part A free at age 65?

You are eligible for premium-free Part A if you are age 65 or older and you or your spouse worked and paid Medicare taxes for at least 10 years. You can get Part A at age 65 without having to pay premiums if: You are receiving retirement benefits from Social Security or the Railroad Retirement Board.

Can I have 2 Medicare Supplement plans?

En español | By law, Medigap insurers aren't allowed to sell more than one Medigap plan to the same person.

Does Medicare Advantage replace Medicare Part B?

Medicare Advantage doesn't replace Original Medicare Part A and Part B coverage; it simply delivers these benefits through an alternative channel: private insurance companies. ... Therefore, to enroll in a Medicare Advantage plan, you must be enrolled in both Medicare Part A and Part B.

What is the average monthly cost of a Medicare Advantage plan?

The average premium for a Medicare Advantage plan in 2021 was $21.22 per month. For 2022 it will be $19 per month. Although this is the average, some premiums cost $0, and others cost well over $100. For more resources to help guide you through the complex world of medical insurance, visit our Medicare hub.

Can you change Medicare Advantage plans after Dec 7?

If you are in traditional Medicare, you can switch Part D plans or switch to a Medicare Advantage plan during the Medicare Open Enrollment period that runs from October 15 through December 7; you cannot use the Medicare Advantage Open Enrollment period (from January 1 to March 31) unless you are enrolled in a Medicare ...

What if I don't want to change my Medicare plan?

If you don't switch to another plan, your current coverage will continue into next year — without any need to inform Medicare or your plan. However, your current plan may have different costs and benefits next year.

Can I change my Medicare plan after Dec 7?

If you make a change, it will begin the first day of the following month. You'll have to wait for the next period to make another change. You can't use this Special Enrollment Period October – December. However, all people with Medicare can make changes to their coverage October 15 – December 7.

Can I switch from a Medicare Supplement to an Advantage plan?

Can you switch from Medicare Supplement (Medigap) to Medicare Advantage? Yes. ... 7, you can make the switch to Medicare Advantage. Medicare Supplement Insurance plans cover some or all of your out-of-pocket expenses from Original Medicare, such as copayments, coinsurance and deductibles.

Can I change from a Medicare Advantage plan to a Medicare Supplement plan?

If a person enrolls in Medicare Advantage when they first become eligible for Medicare, they can switch to original Medicare and Medigap within the first 3 months of their plan. This benefit is available to protect people who find that the policy they first chose does not work well for their healthcare needs.

Can I change my Medicare plan every year?

Typically, you can only enroll in a different Medicare Advantage Plan or switch between Original Medicare and Medicare Advantage during specific times each year. Make sure to enroll in a timely manner to avoid gaps in coverage when using these enrollment periods.

Can you change Medicare plans after open enrollment?

Medicare Advantage Open Enrollment Period.

From January 1 – March 31 each year, if you're enrolled in a Medicare Advantage Plan, you can switch to a different Medicare Advantage Plan or switch to Original Medicare (and join a separate Medicare drug plan) once during this time.

What happens if I don't want Medicare Part D?

If you go for more than 63 days without creditable coverage, you'll have to pay a late-enrollment penalty for every month you delay. The penalty equals 1% of the “national base beneficiary premium” ($35.63 in 2017) times the number of months you didn't have Part D or creditable coverage.

What is the average cost of a Medicare Part D plan?

Premiums vary by plan and by geographic region (and the state where you live can also affect your Part D costs) but the average monthly cost of a stand-alone prescription drug plan (PDP) with enhanced benefits is about $44/month in 2021, while the average cost of a basic benefit PDP is about $32/month.