Part C combines both Part A and B. It covers care at the hospital and at the doctor's office. But Part C is also called a Medicare Advantage Plan. It is not part of Original Medicare, and you have to pay an extra monthly premium for it. Medicare Advantage programs are offered through private insurance companies but must follow rules set by Medicare. In most cases, you will have to use the hospitals and doctors within the insurer's network. Each Medicare Advantage plan has different costs and rules. Each plan can charge different out-of-pocket costs. The Advantage plan you select will determine if you need a referral to see a specialist and if you can only go to certain doctors, medical suppliers, or treating facilities for nonemergency or nonurgent care.
Medicare Advantage Plan rules can change each year. Advantage Plans offer the same coverage as Parts A, B, and D, sometimes with lower copays and some coverage for vision and dental care. However, do your research before enrolling. This is especially so if you live in a rural area, where the network of approved doctors can be limited and wait times for appointments long. In addition, if you have complicated health needs, Medicare Advantage Plans typically require pre-authorization and care from a limited number of doctors.
Before making a selection, give careful consideration to your finances and health needs.