Medicare Perk Program
Medicare Advantage plans are different from Medicare supplements in that they offer several advantages. I recommend to my clients that Medicare Advantage plans be considered alternatives to Original Medicare coverage. Original Medicare covers Parts A and BC. Medicare Advantage plans, also known as Part C or MA plans, are part of Original Medicare. Original Medicare only covers Medicare Advantage. Medicare Advantage plans must also cover all services not covered by Original Medicare.
Original Medicare is where providers bill Medicare first and then bill a supplement provider. Individuals may be responsible for any portion that is not paid by Medicare or the private supplement company. Medicare Advantage plans are billed by the private insurance company. If an individual who has a Part C or MA plan with company XYZ visits his primary doctor, or receives services in a hospital setting, the bill will be sent not to Medicare but to company XYZ. In this instance, the individual might be responsible to pay a copay or deductible.
Medicare Advantage plans may sometimes be called “all-in one” plans. This is because they offer additional coverages. Part C plans may include prescription drug coverage. These plans are sometimes referred as MAPD plans (Medicare Advantage prescription drug). Some plans provide coverage for vision, hearing, dental, wellness, and/or other benefits. Medicare Advantage plans come in many forms and must be evaluated individually.
Medicare Advantage plans include a premium. These premiums can be very different. There are some plans that charge $0 per month. However, Medicare Advantage plan enrollees must pay the Part-B premium. Access to a plan varies by county. For example, in one county, a $0 monthly premium policy may be available. However, it may not be in another.