What you pay in a Medicare Advantage Plan
- Whether the plan charges a monthly . Some plans have no premium.
- Whether the plan pays any of your monthly premium. Some plans pay all or part of your Part B premium.
- Whether the plan has a yearly or any additional deductibles.
- How much you pay for each visit or service ( or ). For example, the plan may charge a copayment, like $10 or $20 every time you see a doctor. These amounts can be different than those under .
- The type of health care services you need and how often you get them.
- Whether you go to a doctor or
- You're in a PPO, PFFS, or MSA plan.
- You go .
- Whether you follow the plan's rules, like using providers.
- Whether you need extra and if the plan charges for it.
- The plan's yearly limit on your out-of-pocket costs for all medical services.
- Whether you have or get help from your state.
Get more cost details from your plan
If you're in a Medicare plan, review these notices your plan sends you each fall:
- "Evidence of Coverage" (EOC). The EOC gives you details about what the plan covers, how much you pay, and more.
- "Annual Notice of Change" (ANOC). The ANOC includes any changes in coverage, costs, or service area that will be effective in January.