Prevea Health

Medicare and Medicare Advantage

Prevea Health participates in Medicare and some Wisconsin Medical Assistance programs and is allowed to collect the required annual deductible, co-insurance and non-covered services from patients. Medicare only pays for covered items and services when Medicare guidelines are met.

 

Medicare Advantage

Each year, more people are experiencing the benefits of choosing Medicare Advantage plans over traditional Medicare. At Prevea, we encourage our patients 65 or older to think about selecting Medicare Advantage. These plans can provide you enhanced benefits, while helping you and your doctor work together to keep you healthy for the long run.

 

Three reasons to enroll in a Medicare Advantage plan:

  1. One combined plan
    Medicare Advantage, also known as Medicare Part C, is available through private insurance companies to people 65 or older and persons with disabilities. Only insurance companies approved by Medicare can offer Part C plans. Medicare Advantage plans combine hospital coverage (Medicare Part A), with doctor coverage (Medicare Part B) all into the same plan.
  2. Get more benefits
    In addition to the hospital and doctor coverage, Medicare Advantage plans often times include other benefits such as vision, hearing, and dental exams.
  3. Stay within your limits
    Medicare Advantage plans have limits on out-of-pocket spending for covered medical services. Once you reach your plan’s maximum out-of-pocket amount, Medicare Advantage will pay 100% of additional covered charges incurred during the remainder of the calendar year.
 

How do you select a Medicare Advantage plan?

  • If you are turning 65: You have seven months to enroll. Enrollment begins three months prior to your 65th birthday month and ends three months after.
  • If you are over 65: Each year you can enroll in a Medicare Advantage plan during the open enrollment period from October through December, unless you qualify for a special enrollment period (SEP). Review your plan each year to make sure it still meets your health needs.
  • If you are under 65 with disabilities: Medicare Advantage plans are available to beneficiaries under age 65, regardless of past and present health conditions. Those who have end-stage renal disease may be unable to register for Medicare Advantage. Click here for more information on exceptions to this rule.
 


The choice is yours

For a complete listing of plan options available in your area, please contact: 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day, seven days a week, or consult www.medicare.gov. Click on “Sign Up/Change Plans” and select “About Medicare Health Plans.” To enroll in Medicare Advantage, contact the plans directly or work with any licensed insurance agent.