Original Medicare (also called Traditional Medicare) was designed to cover some of your healthcare needs, such as hospital stays and doctor visits. But your healthcare journey may require other services as well. This is where a Medicare Advantage plan can be a huge help.
Medicare Advantage plans, such as KelseyCare Advantage, combine Medicare Parts A and B, and then mix in other services, such as dental, vision, and hearing, which aren't covered by Original Medicare.
|
Medicare Part A |
Medicare Part B |
Medicare Advantage Plans |
Hospitalization
|
X
|
X
|
X
|
Doctor Visits
|
|
X
|
X
|
Emergency Visits
|
|
|
X
|
Routine Medical Visits
|
|
|
X
|
**Prescription Drugs
|
|
|
X
|
Vision and Hearing Care
|
|
|
X
|
Health and Fitness Programs
|
|
|
X
|
* 2024 KelseyCare Advantage Honor (HMO) plan members will need to purchase a separate Part D plan.
** 2024 KelseyCare Advantage Honor (HMO) plan does not cover Part D prescription drugs.
Important Considerations
Before you set your sights on a Medicare Advantage plan, take a moment to consider a couple of additional factors so you can be sure you're making the best decision for your healthcare needs.
- Provider Networks: Most plans, like ours, have specific provider networks. This means you'll receive most of your care from in-network physicians, hospitals, and other providers (except for emergency/urgent care or essential dialysis).
- Maximum Out-of-Pocket: Medicare Advantage plans are required to set a maximum out-of-pocket amount, which means once that limit is reached, you’ll pay nothing for additional covered medical services for the rest of the year.
How Do You Qualify?
You're eligible for membership in our plan as long as:
- You have both Medicare Part A and Medicare Part B.
- You live in the geographic area we service.
- You're a United States citizen or are lawfully present in the United States.
Explore Our Plans
Whether you’re looking for a health plan that provides additional perks and supplemental benefits or a plan with more robust core medical and prescription drug benefits, we have a health plan that’s right for you.
Our 2024 Plans have been totally redesigned to meet you where you are in your healthcare journey. Our new plans not only have the right mix of core medical coverage and supplemental benefits, but also offer more choice, more access, and more savings than ever before.
- If you’re looking for the richest supplemental benefits like comprehensive and preventive dental coverage and a robust eyewear allowance, our Thrive plan could be a great choice.
- If you prefer a more balanced mix of core and supplemental benefits, check out our Signature plan.
- If you anticipate needing ongoing medical care or possibly even hospitalization, consider our Secure plan.
- If you’re a retired veteran with TRICARE benefits or already have prescription drug coverage through a former employer’s insurance plan, your best choice is our Honor plan.
- Or, if the freedom to see any doctor (even out-of-network) is an important priority, consider our Freedom plan.
Learn more about what each Medicare Advantage plan can do for you.
Explore Our 2024 Plans Explore Our 2023 Plans