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What are Medicare Advantage Plans and how much does it cost?

Deciding on Medicare advantage may be tricky. Often people find themselves failing to choose which the best Medicare Advantage plan is for them.

What are Medicare Advantage Plans and how much does it cost?

It is a type of health insurance that is provided by private companies approved by Medicare, based on monthly fees per enrollee, rather than billing for each medical service provided. This is also referred as part C or MA plans and it includes all those services you get in Part A and B Medicare.

What to consider before applying?

Before you take a Medicare Advantage plan, you must consider the following;

  • Is there a need of drugs prescription?

If you take prescription drugs, Advantage plan may be the best option for you since Medicare A and B parts do not include prescription medications.

  • Is there a need of vision, hearing, dental or wellness plan services?

If someone needs specialized care, often having eye or dental problems, there is a need Medicare advantage, since Part A and B does not offer extra services.

  • Do you want a cap on out-of-pocket payments?

Part A and B do not cover out-of-pocket payments (OOP). These are direct payments made by an individual to health care providers at the time of service use excluding prepayment for health services.

  • Are you satisfied with your Medigap options?

Medigap helps with many of your Original Medicare deductibles and other expenses. With Medigap plans you have freedom of choice, it means that there is no networks, no referrals, and nor service area restrictions.

  • Which of the two do you prefer between a copay and coinsurance?

Normally Part A and B Medicare charge a 20 percent coinsurance for most service. Advantage plan allow to beneficiary having both HMOs and PPOs. This means that an individual can seek health services within and outside the plan’s network.

Cost of it

The cost depends on the plan and each plan considers a number of factors as covered below:

  • Does it include a monthly premium?
  • Does it pay your monthly Part B premium?
  • Does it have a yearly deductible or any addition deductable
  • How much does it cost for copayment or coinsurance?
  • What type of health care is needed?
  • Is visiting the doctor or supplier who accepts assignment is necessary?
  • Does the following of rules is necessary, such as using network providers?
  • Is there any extra benefits and does the plan charge of it?
  • What is plan’s yearly limit on your out-of-pocket costs for all medical services?

Explaining Medicare Supplement Plan

There are a lot of methods by which you can get the Medicare health coverage. When we asked the people that what do they think about Medicare?  Majority of them reply that Medicare is the federal government’s health care plan for the retirees and senior citizens known as the Original health insurance, which consists of health insurance Part A (hospitalization coverage) and Part B (coverage for doctor visits and medical insurance). But having the different options at your disposal makes it even better so similar role is played by the Medicare Supplement plans 2019 as these plans also offer you medical insurance Part A and Part B benefits but  only difference is that medical insurance Supplement  offers these plans via the private,  Medicare-verified insurance company which is regulated by  the federal government.

Many older adults will enroll in a Medicare Supplement plan for 2019 to eliminate the extra burden of medical bills.

The Medicare Supplement plan is also known as Medicare Part C plan. It simply offers you a different way to get your Original Medicare health coverage. If you do a thorough homework, then you can get right medical security Supplement plan which might offer you some supplemental benefits such as prescription drug coverage, and some also offer coverage for hearing, vision, dental, and gym membership for fitness as well.

Problem with Original health insurance is that they do not provide coverage for prescription drugs mostly because medical security Part A and Part B only cover simple medications which are not used often whereas medical security Supplement provides coverage for almost all of your health services.

So if you want prescription drug scheme for your drugs then, first of all, you need to make sure that plan you are willing to take covers your medication because it is possible that a plan will not cover your medication if you do not check list of covered medications of a plan.

As I have told you that private insurers offer Medicare Supplement plans, therefore, every health insurance Supplement plan has its own monthly premium, and some of health insurance Supplement plans have premiums as low as $0 per month.

thing about health insurance Supplement plan is that when someone enrolls in it even then they still have their Original Medicare and also have to pay usual monthly premium of Part B.

Following are major types of a Medicare Supplement plan:

  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)
  • Private Fee-For-Service (PFFS)
  • Special Needs Plan (SNP)

Above-mentioned types of the health insurance schemes play a vital role in determining the perks which a person gets.