Medicare Advantage Plans (Part C)
Medicare Advantage plans may combine all Medicare-covered benefits with additional services, depending on the plan.
What’s a Medicare MSA Plan?
A Medicare Medical Savings Account (MSA) Plan is a type of Medicare Advantage Plan (Part C). It includes two parts:
Medical Savings Account:
Medicare deposits money into this account each year. You can use the money to pay for health care services.
High-Deductible Health Plan (HDHP):
This plan helps cover your Medicare-approved services once you meet the deductible.
How Does an MSA Plan Work?
- You can use the money in your MSA account to pay for qualified health care costs.
- If you use all the money before meeting the deductible, you’ll pay out-of-pocket for services until the deductible is reached.
- After you reach the deductible, the plan covers your Medicare-approved services.
Key Things to Know
- MSA Plans do not charge a monthly premium (though you must still pay your Part B premium).
- These plans generally don’t include prescription drug coverage. If you need drug coverage, you can join a separate Medicare Part D plan.
- You’re allowed to see any provider who accepts Medicare, but each plan may have its own rules about using network providers.
- Any unused money in your account stays with you and can be used in future years
What Services Are Covered?
MSA Plans must cover the same services as Original Medicare. These include:
- Hospital care (Part A)
- Medical services like doctor visits, tests, and outpatient care (Part B)
Some MSA Plans may offer extra benefits like dental, vision, or hearing, but coverage varies by plan.
Is an MSA Plan Right for You?
An MSA Plan might be a good fit if:
- You’re comfortable managing your own health care expenses.
- You like having control over how your health dollars are spent.
- You don’t need drug coverage included in your main plan.
- You want the flexibility to choose providers
Need Help Understanding Your Options?
We’re here to help explain how MSA Plans and other Medicare Advantage options work. Our goal is to make sure you have the information you need to make the right decision for your situation.
When are you eligible for a Medicare Advantage plan?
- If you’re 65 or older
- If you have other Medicare coverage, you can change to Medicare Advantage during annual open enrollment
- You may also qualify under other exceptions, such as an eligible disability or chronic condition
Speak To a Licensed Sales Agent
Connect with a licensed sales agent to explore your Medicare Advantage options
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We do not offer every plan available in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
[[Senior Healthcare Advisors, LLC, ], [in California – SCH Insurance Agency]] represents Medicare Advantage [HMO, PPO and PFFS] organizations [and stand-alone PDP prescription drug plans that have a Medicare contract. Members may receive a monthly or quarterly allowance benefit in the form of a prepaid card to pay for a wide range of approved [healthy groceries] [and] [utilities]. Unused amounts will expire at the end of the month or quarter. Enrollment depends on the plan’s contract renewal.
Eligibility is based on clinical criteria established by the plan. The benefits mentioned in this material may be available as part of a Special Supplemental Benefit for the Chronically Ill (SSBCI) for members with certain chronic conditions. Not all members qualify.
Not all plans offer all of these benefits. Availability and amount of these benefits vary by carrier, plan, location and service area. Not all plans offer SSBCI benefits. Limitations and exclusions may apply. [[Senior Healthcare Advisors, LLC,], [in California – SCH Insurance Agency]] not connected/endorsed by a government entity. You also agree to the Privacy Policy.
SSBCI benefits are available only to qualifying enrollees who meet the criteria for one or more of the following chronic conditions, which may include but are not limited to: congestive heart failure, diabetes, cardiovascular disorders, chronic obstructive pulmonary disease (COPD), and autoimmune disorders.
Enrollment in a plan may be limited to certain times of the year unless you qualify for a Special Enrollment Period or you are in your Medicare Initial Enrollment Period. Enrollment in a Medicare Advantage plan depends on contract renewal.