Medicare service area

Medicare service areas are geographic regions designated by the Centers for Medicare and Medicaid Services (CMS) where Medicare Advantage (Part C) plans are offered. These service areas are established by county or region and are based on the availability of healthcare providers and facilities in a given area. Medicare service areas may differ depending on the type of Medicare Advantage plan being offered, such as Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), or private fee-for-service (PFFS) plans. Some Medicare Advantage plans may be available in only certain counties or regions, while others may be available in multiple states.

In addition to Medicare Advantage plans, Medicare service areas also apply to other parts of Medicare, such as Medicare Part A and Part B, which provide coverage for hospitalization and medical services, respectively. These parts of Medicare are available nationwide, regardless of where you live.

To find out if a specific Medicare Advantage plan is available in your area, you can use the Medicare Plan Finder tool on the official Medicare website or speak with a licensed insurance agent who can assist you in understanding the available Medicare options in your area.

A location where medical and health insurance companies and health providers have a presence. The plan may include geographical restrictions on who can participate. The service area is typically the location where you can receive normal (non-emergency) services if your insurance plan restricts the doctors and hospitals you can visit. If you relocate outside of the plan's service area, the plan may de-enroll you.

MedHelpCenter.us recommends that you call the Senior Health Insurance Agency at 813-592-8568 for further explanation.