Medicare Advantage FAQs

Generally, you’re first eligible to sign up for Medicare starting 3 months before you turn 65 and ending 3 months after the month you turn 65. (You may be eligible for Medicare earlier, if you get disability benefits from Social Security or the Railroad Retirement Board.)

A Medicare beneficiary is a person who has applied and been approved for Medicare benefits by the federal government.

A Medicare Advantage Plan is a comprehensive Medicare plan from a private insurance company that covers Parts A (hospital insurance) and Part B (medical insurance) and includes Part D, your prescription drug benefit, and often more services and benefits. Medicare Advantage plans are often referred to as Part C.

Original Medicare is managed by the federal government. It covers inpatient care in hospitals (Part A) and doctor’s visits (Part B). It does not cover prescription drugs; you’ll have to join a Medicare drug plan in addition to Original Medicare. It does not cover extra benefits like dental, vision, or hearing.

Medicare Advantage Plans are offered by private insurance companies. They cover inpatient care in hospitals (Part A) and doctor’s visits (Part B) and, often, Part D (prescription drug coverage), PLUS extra benefits like dental, vision, hearing, fitness, and more – all in ONE plan. Community First Medicare Advantage Alamo Plan also offers all the same rights and protections as Original Medicare.

Medicare Advantage Plans, including Community First Medicare Advantage Alamo Plan, covers health care services such as:

• Hospitalization
• Skilled Nursing Facilities, hospice, and home health care
• Medical services, including doctor visits and outpatient care
• Preventive services, including health screenings and vaccines
• Durable medical equipment like wheelchairs and walkers
• Prescription drugs
• Other medically necessary services

Community First Medicare Advantage Alamo Plan also offers Members comprehensive coverage for things Original Medicare does not cover, including dental, vision, hearing, over-the-counter items, transportation to health care visits, fitness memberships, and more.

5As a Community First Medicare Advantage Alamo Plan Member, you will receive:

• Dental Coverage
• Vision Coverage
• Hearing Coverage
• Fitness Membership
• Health & Wellness Programs
• 24/7 Nurse Advice Line
• Virtual Doctor Visits (Telehealth)
• Care Coordination (Organizing patient care and sharing information among the patient, family, doctors, and all concerned parties)
• Prepaid Card for Over-the-Counter Items
• Non-Emergency Transportation Services (NEMT)
• At-Home Meal Delivery Services
• Personal Emergency Response System
• Yearly Limit on Out-of-Pocket Costs
• Access to Nationally Recognized Specialists
• Access to a Level I Trauma Center
• Local, In-Person Member Services Support

To learn more, view our 2025 Extra Benefits Guide.

Community First Medicare Advantage Alamo Plan is an HMO plan. This means you generally must get your care and services from providers in our network, except for:

• Emergency care
• Out-of-area urgent care
• Out-of-area dialysis

Medicare Open Enrollment is from October 15 through December 7 every year for coverage beginning January 1. During this enrollment period you can:

• Join, drop, or switch to another Medicare Advantage Plan
• Switch from Original Medicare to a Medicare Advantage Plan, like the Community First Medicare Advantage Alamo Plan.

Medicare Advantage Open Enrollment is from January 1 through March 31 every year. This enrollment period is only for individuals already in a Medicare Advantage Plan. During this enrollment period, you can switch to another Medicare Advantage Plan, like the Community First Medicare Advantage Alamo Plan. Your coverage will begin the first of the month after the plan gets your request.

If you are new to Medicare, you can enroll during the Initial Enrollment Period. This enrollment period starts 3 months before you get Medicare and ends 3 months after you get Medicare. During this time, you can join the Community First Medicare Advantage Alamo Plan, but you need both Part A (Hospital Insurance) and Part B (Medical Insurance) to join. If you request to join our plan before your Medicare starts, your plan coverage starts the same day as when your Medicare starts. If you request to join our plan after your Medicare starts, your plan coverage starts the first of the month after the plan gets your request.

Learn more about Medicare Enrollment Periods.

Yes, most prescription drugs are covered by Community First Medicare Advantage Alamo Plan. Our plan offers protection against high-cost prescription drugs through our offering of various levels of cost coverage for different “tiers” of drugs. For drugs that are not covered, your primary care doctor can submit a request for coverage.

Learn more about our prescription drug coverage.

Yes. Click here for a list of primary care providers (PCP) in the network. If you’d like a printed copy of our Medicare Advantage Provider Directory, call Member Services at 1-833-434-2347, and we’ll mail it to you at no cost.

If you do not select a PCP, we’ll choose one for you. You can find your PCP’s name and phone number on your Member ID card.

The Community First Medicare Advantage Alamo Plan Evidence of Coverage, Summary of Benefits, and Member Handbook are detailed plan documents that contain valuable information about our plan. You can view them here. You can also call 1-833-434-2347 or complete this form to speak with a licensed agent who can answer your questions.

Enrolling in the Community First Medicare Advantage Alamo Plan is simple.

Medicare beneficiaries may enroll in the Community First Medicare Advantage Alamo Plan through the CMS Medicare Online Enrollment Center located at Medicare.gov. 

A  Spanish Enrollment Form is also available.

You can also request a licensed agent contact you to help you enroll today or call 1-833-434-2347.