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Other Medicare Health Plans

Aside from Medicare Parts A and B and Medicare Advantage Plan, Medicare offers other options. These plans have some of the same rules however, each type of plan has special rules and exceptions.


Medicare Cost Plans

These are the type of Medicare health plans available in certain, limited areas of the country.

Here's what you should know about it;
  • You can join even if you only have Part B
  • If you have Part A and Part B and go to a non-network provider, the services covered are under Original Medicare.
  • You can join anytime
  • You can leave anytime and return to Original Medicare
  • You can either get your Medicare prescription drug coverage from the Cost Plan or you can join a Medicare Prescription Drug Plan. (You can add or drop Medicare prescription drug coverage only at certain times)

Programs of All-inclusive Care for the Elderly (PACE)

This is a Medicare and Medicaid program offered in many states that allows people who otherwise need a nursing home-level of care to remain in the community. 

 To qualify, you must  be;
  • 55 or older
  • live in the service area of PACE organization
  • certified by your state as needing a nursing-home level of care
  • able to live safely in the community with the help of PACE services

PACE covers all Medicare and Medicaid-covered care and services and other services that the PACE team of health care professionals decides are necessary to improve and keep up your health. 

If you have Medicaid, you won't have to pay a monthly premium for the long-term care part of the PACE benefit. 

If you have Medicare, you'll be charged a monthly premium to cover the long-term care part of the PACE benefit and a premium for Medicare Part D drugs. However, in PACE, there's never a deductible or copayment for any drug, service or care approved by the PACE team. 


Medicare Innovation Projects

Medicare develops innovative models, demonstrations and pilot projects to test and measure the effect of potential changes in Medicare.  These projects help find new ways to improve health care quality and cut costs. 

Examples of current projects include innovations in primary care, care related to specific procedures, Cancer care and care for people with End-Stage Renal Disease.

To learn more about the current Medicare projects, call 1-800-MEDICARE, TTY users can call 1-877-486-2048.


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