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Medicare Advantage Plans: 7 Must-Know Facts

  1. A Medicare Advantage plan works just like Part A & Part B Medicare plan.

 

For instance, if the enrollee gets a flu shot covered under Part B Medicare, then he/she can also get it covered by a Medicare Advantage policy.

 

  1. A number of MA plans offer additional benefits

 

Part A & Part B Medicare offers a limited coverage in regards to prescription medications, however, most MA plans not only cover prescription medications but also offer further benefits which include routine vision, hearing and dental coverage in addition to fitness benefits.

 

  1. MA plans are authorized by Medicare itself

 

The participant is still in Medicare with the Advantage plan, although the benefits you receive would be managed by private insurance agencies. Nonetheless, you’ll have Medicare protections & rights meaning you can also appeal to the coverage you receive.

 

  1. Each of the MA plans comes with out of the pocket max

 

As opposed to Traditional Medicare, MA plans come with caps on the amount much you’ll be paying out of your own pocket for the covered medical charges. The federal max for any coverage is set at $6,700 for this year, however, the plan might have a lower max like $3,400. Out of the pocket max reset each year.

 

  1. You might be paying 2 premiums most times

 

A few MA plans come with zero premiums. But, most need you to pay a fixed monthly amount to continue the coverage.

 

Besides, you’ll also be accountable for paying your Part B Medicare premium to the federal government.

 

  1. Majority of the health issues won’t stop you from getting MA plans

 

People with pre-existing disorders, like cancer or high blood pressure, can easily get enrolled in a MA plan.

 

The lone disorder which may stop you from getting the Advantage coverage is ESRD ( end-stage renal disorder). But, they have the option to participate in Special Needs Coverage. This is also a type of MA plan.

 

  1. You are able to easily swap your MA plans if you aren’t happy with the current one

 

You have the ability to switch to a new MA plan anytime throughout the IEP (also known as Initial Enrollment Period) – a seven month period that begins three months prior to your 65th birthday or when you complete 25 months of your disability benefits. This includes that particular month & stretches 3 months after it.

 

You will be able to switch MA coverage during the OEP (open enrollment period) of your Medicare coverage. This begins on Oct 15 and ends on Dec 7 each year.

Benefits of Medicare Supplement Plan

Introduction

Medicare Supplement plan provides the customers with the option of supplementing their Original Medicare. The policy meets the expenses which are not covered by the Original Medicare and saves the customers from incurring out-of-pocket expenses. It is important to note that the Medigap policy is not a standalone policy and is not an alternative to the Original Medicare, it only augments the former. Medigap policy is offered by private insurance companies and provide immense value to the customers. Some of the salient benefits of the Medicare Supplement plan are as follows:

 

 

Prevents Out-of-Pocket Expenses

The Medicare Supplement plans are popular as they save the out-of-pocket expenses for senior citizens. These plans cover the expenses which are not met by the Original Medicare.  Since the Original Medicare does not cover all the expenses like coinsurance, copayments, annual deductibles etc. the citizens can still end up paying a considerable out-of-pocket expense which can hurt them and wipe away their savings. With a Medicare Supplement plan, the out-of-pocket expenses are taken care of.

 

Ease of Comparison and Standard Features

The 2019 Medicare Supplement plans are standardized insurance policies offering features which are easy to compare. The customers can compare the different plans and assess the ideal plan for them. These plans provide standard features and benefits which do not change based on location. Each of the plans from A-N offer different benefits and degree of coverage and is available across all the states except Wisconsin, Massachusetts, and Minnesota which standardize the plans differently.

 

Flexibility in Choosing the Health Service Providers

A Medicare Supplement plan offers the customers flexibility in terms of choosing their doctors and hospitals for treatment. The customers are not tied down to choose specific doctors and hospitals for availing the plan benefits. This is beneficial to the customers as they can choose the health service providers, they are comfortable with. In case when the customers purchase a SELECT plan, they need to choose the health service provider which are in the network of the insurance provider.

 

Standard Benefits Irrespective of Location

One of the most beneficial features of a Medigap plan is that the customers get the same benefits even outside their home state. When the customers are traveling in other states, the Medigap plan pays the same proportion of the expenses when they receive health care in other states.

 

Renewal Guarantee

The Medicare Supplement plan are guaranteed renewable. They are renewed as long as the customers pay the premium even when they have any health issues.

Insurance advantage plans quote

There are  Medicare advantage plans and it can be hectic to decide which policy to go for. Along with, the aforementioned problem, the cost is also a major issue. The policies opted for should come under the cost bracket of an individual.

Humana Medicare Advantage Plans 2019

Tips to get a quote for any policy:

  1. Requirements in the 2019 Humana medicare advantage plans and policies:

Before calling any insurance agent to ask about the Medicare advantage plans available and get the quote for it, determine the needs related to the policy and the additional coverage that might be needed. To reach on this number, estimate the health care needs in the future and subtract the amount of coverage that is already covered through Medicare. Ensure that the expenses not covered by Medicare are also included in the cost estimate Such as the following:

  • Any long-term care expenses like nursing facilities, homemaker services, or custodial care and include them in the estimate
  • Travel expenses involved in any treatment of any health issues.
  • Dental care expenses like dentures or bridgework.
  • Costs related to routine checkups or care related vision or hearing aids and so on.
  • Costs related to medical care if and when treated outside of US.
  • Deductibles
  • Copayments
  • Coinsurance
  • Prescription drugs are covered under Plan D under the Medicare insurance policies and not under Medicare advantage plans after 1st January 2006. Hence, initiate the process for insurance under Plan D for insurance coverage of prescription drugs.
  • Acupuncture costs, if any.
  1. Ask for a quote:

After deciding on the estimate of the medical expenses, look for policies online and review the policies online. As a next step, call the insurance agencies directly and speak with an insurance agent. Discuss the coverage that is needed and the insurance agent will guide through different policies that will be suitable for the particular needs stated and will give a price quote for the same. Contact two or more insurance companies to get a good idea and compare the policies and price quotes. Look at any value-added services offered by the insurance companies such as critical illness coverage, identity theft protection and so on. Make sure that only similar policies are being compared with one another and go for the best.

  1. Policy quote for spouse:

In case, Medicare advantage plans are needed for both you and your spouse, you need to ask a separate quote for your spouse as Medigap policies serve only one individual and do not take into consideration a married couple.

Insurance companies selling Medicare supplement plans

There are so many policies within Medicare that it can be a little intimidating to decide which one to go for or to decide which the insurance companies that are selling these supplement plans. Original Medicare covers a lot but there still certain medical expenses that might not be covered under them. Hence, Medicare supplement plans to aid in covering expenses not covered under Medicare plan A and B. To get the Medigap it is necessary to know how to find this supplement insurance and how much is needed in the Medigap policy and getting the quote for it will help to know the exact cost of it.

Tips to find supplement Insurance resources for Medicare supplement plans:

  1. Existing insurance carrier:

Medigap sites usually state the insurance companies that are licensed to sell Medigap insurance in the state. Also, each state has its different insurance companies that are authorized to sell these policies. Hence, it is necessary to look for these companies which are authorized by the government to sell them. Keep in mind that the companies licensed to sell insurance forms of any kind might not be necessarily authorized to sell Medicare supplement plans. To start with, it will be easier to call the company that is already providing the medical insurance for you, or even auto insurance or home insurance. Any agent associated with the insurance company will be able to tell you if the company is authorized for selling Medigap policies. It becomes cheaper and easier if you already have an existing insurance coverage of some kind with the company.

  1. Official Medicare website tool:

Medicare.gov is the official website for Medicare policies and you will get any information related to the policies. From the homepage, select “supplements & other insurance” and then “find a Medigap policy” to find the policies suited. From there, enter the applicable zip code and then the website will pull out the insurance service providers who are authorized to sell Medicare supplement plans in the mentioned state.

  1. Policy coverage:

After finding out the list of service providers, select the insurance company to look at the policies offered by them. Click on “view policies” and a new screen will open listing the policies provided by those insurance providers and the estimation of cost annually. The cost mentioned is just estimation and is provided in general. Cost can change with different preferences and call an insurance agent of the selected company to know further.

  1. Internet search:

Just a simple search for Medigap or Medicare supplement plans in 2019 will list a number of sites that will enlist answer to every question. But make sure that the price and details quoted are aligned with Medicare’s official website.

Compare Medicare supplement plans – perfect study before choosing Medicare plans

When you want to take part of Medicare Supplement plans you should know the difference between the Medicare and the Medicare Supplement plans, as a result, you can easily understand that which plan will best for you as well as your health. For now, the overall details of Medicare supplement plan you should compare Medicare Supplement plans with a simple Medicare plan. For knowing the details of it you should visit the proper website where you will get the exact rules and benefits of Medicare Supplement plans as a common people you should read the whole terms and conditions of these plans and then you should sign up the insurance paper, as a result, you will get the huge benefits from this scheme and your medical treatment will be easy.

Medicare supplement plans 2019

Get a quote on a Medicare Supplement plans 2019 by visiting medigapplansguide.com/medicare-supplement-plans-2019/

Difference between Medicare plan and Medicare Supplement plans

  • Medicare Supplement plans cover the whole medical treatments. In this scheme, you will get hundred percent accuracy and your whole expenditure will be refunded and it covers every type of critical diseases but normal Medicare plan do not cover whole treatment.
  • Medicare Supplement plans are costly than Medicare plan but an supplement plan is effective for the human body.
  • In the time of hospitalization, Medicare supplement plan is very fruitful than other plans.
  • In the medical sector, Medicare supplement plan is only a great health insurance policy which covers part A, B, C and D.
  • Generally, dental, vision, pregnancy problems are not covered by normal Medicare plan but medicare supplement plans cover these types of problems.
  • Many supplement plans are not found in original medicare it provides the extra benefits to their special customers. That is why supplement plans became popular and its demand has been spread across the world.
  • Supplement plan is government plan and companies cover this plan for their employees.
  • Mental health treatments are also available from the supplement plan but Medicare does not provide this facility.
  • Supplement Medicare plan, you will get the ambulance facility as a result hospitalization will be possible within a short period.
  • Skilled and professional nurses help you to avail the better treatment. Their caring is very good which is the main specialty for better treatment.
  • If your name will be enrolled in Medicare Supplement plans you will make sure that your treatment instruments will be durable and long lasting.

Evaluation

Realizing the special benefits of Medicare Supplement plans, each and every people want to enroll their name in this supplement plan and the premium is pocket-friendly and a service holder can easily pay this charge or premium money.

 

Things you have to know before you compare Medicare supplement plans!

Those who have heard of the Medicare supplement plans are still not aware of all the benefits that comes with these plans. There is a Medicare supplement plan as well and that is different from the supplement plan. Everyone likes free stuff, however, what if you come to realize that the free stuff is not free after all, therefore if you want to get to the bottom of this, go through this article fully only then you will come to understand the proper difference between these two plans both of which are meant for the betterment of the people.

To learn more visit Bestmedicaresupplementplans2019.com/

What does the private insurance companies offer?

There are lot of additional stuff which he private insurance companies which they have to offer. However, before you get to know this, you need to actually know how these companies actually work. The plan provided by these companies should include both the part of Medicare supplement plans which are part A, part B. sometimes it should also include part D as well, which refers to drugs.

Continue to do your part

To get the full supplement of the premium plans, you need to continue paying the monthly premiums of part B as well. However, some people think that this part is for free to people. However, the truth behind this is that, the necessary amount gets deducted from the social security income of yours. Therefore, plans with $0 premium cannot be considered as free fully.

However, if you learn more about it, then you will also learn the fact that the agents of Medicare have started to forbid the workers from mentioning the supplement plan as free.

Tips to find low budget plans

These are the few things which you should be aware before you compare Medicare supplement plan. These things include getting to know the following things.

  • Get to know the summary of the benefits provided by these plan.
  • The directory of the provider.
  • The details of part D of the plan. This is necessary if you want to get a plan with drug coverage as well.

Most of the supplement plans which you are going to choose needs a providers, therefore it is not very convenient. Thus, try to choose a plan which includes you primary provider, all the ancillary facilities and also it should include the hospitals which you often go, once you do this you will be very grateful that you did so.

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.