Y Nixson Insurance

What Is a Medicare Advantage Plan?
Medicare Advantage Plans — sometimes called "Part C" or "MA Plans" — are an alternative way to receive your Medicare benefits. Instead of Original Medicare (administered directly by the federal government), Medicare Advantage Plans are offered by private insurance companies approved by Medicare. These plans must cover everything Original Medicare covers, except hospice care, and many include additional benefits such as dental, vision, hearing, and prescription drug coverage.

Types of Medicare Advantage Plans

• HMO (Health Maintenance Organization): Requires you to use a network of doctors and hospitals, and typically requires a primary care physician referral to see specialists. Emergency and urgent care are always covered.
• PPO (Preferred Provider Organization): Offers more flexibility to see providers inside or outside the network, though out-of-network care typically costs more.
• PFFS (Private Fee-for-Service): Similar to Original Medicare — you may see any provider that accepts the plan's payment terms.
• SNP (Special Needs Plan): Designed for individuals with specific conditions or circumstances, such as those who have both Medicare and Medicaid, reside in a nursing facility, or have certain chronic conditions.
• HMO-POS (HMO Point-of-Service): A hybrid HMO plan that may allow some out-of-network services at a higher cost.

Eligibility & Costs
To enroll in a Medicare Advantage Plan, you must have both Medicare Part A and Part B and live within the plan's service area. In addition to your Part B premium, most plans charge a monthly premium for the additional coverage. Costs, networks, and benefits vary by plan and can change each year.

Plan availability varies by ZIP code. Contact Yasmin Nixson to find out which plans are available in your area.

Medicare Prescription Drug Coverage
Medicare offers prescription drug coverage to all Medicare beneficiaries through Part D. Coverage is available in two ways:

• Standalone Part D Plan (PDP): Adds drug coverage to Original Medicare or a Medicare Supplement plan.
• Medicare Advantage with Drug Coverage (MA-PD): Many Medicare Advantage Plans bundle prescription drug coverage directly into the plan.

How Drug Coverage Works
Each Part D plan maintains its own formulary — a list of covered medications. Drugs are organized into tiers, with lower-tier medications typically having lower cost-sharing. In some cases, your provider may request a formulary exception if a higher-tier drug is medically necessary.

Plans can make formulary changes during the year, but must notify you at least 60 days in advance — or provide a 60-day supply of your current medication before the change takes effect.

Late Enrollment Penalty
If you do not enroll in Part D when first eligible and do not have other creditable drug coverage, you may be subject to a late enrollment penalty. It's important to review your options during your Initial Enrollment Period.

Contact Yasmin Nixson to compare Part D plans available in your area.

Is Your Retirement Plan Working for You?
Studies show that a majority of Americans between the ages of 50 and 74 do not have a formal retirement plan in place. Without one, the risk of outliving your savings or facing unexpected financial hardship in retirement is very real.

Yasmin Nixson can help connect you with financial products designed to provide stability and growth during your retirement years.

What You May Be Looking For:

• Guaranteed income for life
• Protection against market loss
• Opportunity to capture market gains
• Tax-deferred growth potential

Many people are surprised to learn that products with these features exist and may be accessible to them. Retirement doesn't have to be a financial rollercoaster — with the right plan in place, you can move forward with confidence.

Schedule a no-obligation conversation with Yasmin Nixson to explore which retirement solutions may be right for your situation.