Medicare Part C (Medicare Advantage) and Wound Care
What Patients Need to Know
Many patients ask whether Medicare Part C, also known as Medicare Advantage, covers wound care. The short answer is yes, but the details can look different than traditional Medicare Part B. At Advanced Wound Care, we help our patients understand how their insurance works so they can get the treatment they need without unnecessary delays or confusion.
What Is Medicare Part C?
Medicare Part C, or Medicare Advantage, is offered through private insurance companies approved by Medicare. These plans are required to cover everything that Original Medicare (Part A and Part B) covers, which means wound care services are included. However, since these are private plans, coverage details can vary depending on the provider and the specific plan you’ve chosen.
How Does Wound Care Work with Medicare Advantage?
While wound care is covered, there are often differences compared to Medicare Part B:
- Provider networks: Many Advantage plans require you to use in-network providers.
- Prior authorizations: Some treatments or advanced wound care procedures may need approval first.
- Different copays or deductibles: Out-of-pocket costs can vary between plans.
- Coverage for supplies: Items like dressings, negative pressure devices, or other wound care materials may be handled differently than under Part B.
Getting the Care You Need Without Confusion
If you’re enrolled in a Medicare Advantage plan, it’s important to understand your coverage before beginning wound care treatment. Our team is experienced in working with these plans and can help verify your benefits, explain your options, and make sure you get the care you need without unnecessary obstacles.
Contact our care team today to discuss your coverage and schedule a consultation.