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Health Care Reform:

Health Insurance & Affordable Care Act

Back to ACA Health Insurance Terms List

Medicare Cost Plan

A Medicare Cost Plan is a type of Medicare plan available in some areas. It is very similar to Medicare Advantage.

In a Medicare Cost Plan: 

  • 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 are covered under original Medicare. You would be responsible for applicable coinsurance and deductible. 
  • You can join anytime the plan is accepting new members. 
  • You can leave anytime and return to original Medicare. 
  • You can either get your prescription drug coverage through a Medicare Cost Plan, if it's offered, or you can join a Medicare Prescription Drug Plan (called Part D). 

Another type of Medicare Cost Plan only provides coverage for Part B services. 

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