Some Medicare Advantage plans additionally have fringe benefits in Lake Forest, Lake County Illinois. And in the surrounding cities Wilson, Waukegan, Chittenden, Highlands, Huntington, Windham, Beaver Creek, Mount Prospect, Palatine, Eddy and many more!

Medicare Advantage Tactics

Medicare Advantage plans are different from Medicare supplements in that they offer several advantages. My clients often think of Medicare Advantage plans in addition to Original Medicare coverage. Original Medicare includes Parts A-B. Medicare Advantage plans are also known as Part C and MA plans. 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 will bill the private insurance company. An example: If an individual is enrolled in a Part C (MA) plan with company XYZ and visits a primary care physician or seeks treatment at a hospital, then the bill will be sent directly to company XYZ. Not Medicare. In this instance, the individual might be responsible to pay a copay or deductible.

Medicare Advantage plans can sometimes be called “all in one” plans, as they include other coverages. Part C plans can include prescription drug coverage. These plans are also known as MAPD (Medicare Benefit Prescription Drug) plans. Some plans provide coverage for vision, hearing, dental, wellness, and/or other benefits. Medicare Advantage plans can be very different and should be carefully reviewed on an individual basis.

Medicare Advantage plans come with a premium. These premiums are variable. There are plans with a $0 monthly fee. However, Medicare Advantage plans do not require individuals to pay the Part A premium in order to sign up. The availability of plan access can vary greatly from one county to the next. For example, a $0 monthly Premium Plan may be offered in one county, but not in another.


Justin Eggenberger

Medicare Advisor

Let Justin Eggenberger explain your options in terms you understand.

Get a Free Quote

We Boost your Medicare by getting the plan for you.

by insurance companies and they are the most complicated, but they are less expensive.

by state, by deductible and copay amounts. With these plans the Medicare people turn over your Part A coverages & Part B coverages and premium to the insurance company.

With these plans you are charged many little fees and copays for each procedure, so you are somewhat only paying for what you use. This helps keep the cost down.

Questions And Answers

Are actually Medicare Advantage prepares bad or even great?

What are actually the drawbacks to Medicare Advantage programs Medicare Advantage programs have some drawbacks, such as limited supplier networks, greater out-of wallet expenditures, as well as yearly modifications in advantages. The greatest trouble with Advantage programs, however, is actually that lots of folks do not fully know all of them.

Which Medicare Advantage planning is actually very most prominent?

Our primary choice is actually the Aetna Medicare Advantage programs. Aetna is actually the most extensive worldwide health insurance company. They are actually an AM Finest A Ranking Business. These programs give a selection of options, featuring PPO or even HMO, low or even zero premiums as well as fringe benefits.

What is actually the normal month-to-month cost for a Health insurance Advantage planning?

In 2021, the normal month-to-month superior for a Health insurance Advantage policy was $21.22. It will certainly rise in 2022. This is actually an average superior, yet there are actually various other premiums that set you back greater than $100. Our Medicare center possesses even more sources to help you in knowing the challenging globe of clinical insurance policy.

Types of Medicare Advantage Plans

There are several types of Medicare Advantage plans that you can choose from:

  • Health Maintenance Organization (HMO). HMO plans utilize in-network doctors and require referrals for specialists.
  • Preferred Provider Organization (PPO). PPO plans charge different rates based on in-network or out-of-network services.
  • Private Fee-for-Service (PFFS). PFFS plans are special payment plans that offer provider flexibility.
  • Special Needs Plans (SNPs). SNPs help with long-term medical costs for chronic conditions.
  • Medical Savings Account (MSA). MSA plans are medical savings accounts paired with high deductible health plans.

Some Major Brands We Work With

Book a Free Consultation

Call us 815 258-3070