Medicare Part C Eligibility

Understanding Your Eligibility for Medicare Advantage (Part C)

Navigating the Medicare landscape can be complex, but understanding your eligibility for Medicare Part C, also known as Medicare Advantage, doesn’t have to be. This page is dedicated to helping you determine if you qualify for Medicare Part C and what steps you need to take to enroll.

Basic Eligibility Requirements

To be eligible for Medicare Part C, you must first meet the following criteria:

Enrollment in Original Medicare

You must be enrolled in both Medicare Part A (hospital insurance) and Part B (medical insurance). Part C is an additional option that supplements the Original Medicare coverage.

Residential Status

You need to live in the service area of the Medicare Advantage plan you wish to join. These plans are offered by private insurance companies and their availability may vary by location.

No End-Stage Renal Disease (ESRD)

One of the key attractions of Medicare Part C is the inclusion of extra benefits not covered by Original Medicare. These can include vision, hearing, and dental care, wellness programs, and sometimes even fitness memberships or transportation to medical appointments.

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