New to Medicare
Plan early to understand your Medicare options.
New to Medicare?
With a Medicare Advantage plan, also called Medicare Advantage or Medicare Part C, you don’t need to purchase a separate Medicare Part D plan to cover your prescription drugs or buy an additional Medigap plan to cover supplemental benefits. It’s all bundled into one comprehensive plan.
Original Medicare vs. Medicare Advantage Plans
Original Medicare plans only cover partial healthcare, while Medicare Advantage Plans, such as KelseyCare Advantage, combine Medicare Parts A and B in addition to other services not covered by 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 |
Important Points to Keep in Mind
There are some factors to take into consideration when it comes to deciding whether a Medicare Advantage plan like KelseyCare Advantage is right for you:
-
Provider Networks Most plans, like ours, have specific provider networks, which means you will 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.
To Qualify
You are eligible for membership in our plan as long as:
-
You have both Medicare Part A and Medicare Part B
-
You live in our geographic service area
-
and you are a United States citizen or are lawfully present in the United States
Always at Your Service
Please Contact a Health Plan Specialist
at 713-442-5646 (TTY: 711)
8 a.m.– 8 p.m. | 7 days a week | From October 1 to March 31
8 a.m.– 8 p.m. | Monday – Friday | From April 1 to September 30