Medicare Perk Tactics
Medicare Advantage plans offer many advantages over Medicare supplements. My clients are advised to consider Medicare Advantage plans an alternative to Original Medicare coverage. Original Medicare includes Parts A-B. Medicare Advantage plans are also known as Part C and MA plans. Original Medicare is not covered by Medicare Advantage plans. Medicare Advantage plans must provide all the services Original Medicare provides.
Original Medicare providers first bill Medicare, then they bill a supplement company. After Medicare and the private supplement companies have paid their respective portions, the individuals could be responsible to pay the remainder. Medicare Advantage plans are billed by the private insurance company. If an individual has a Part C plan (MA) with company XYZ, and visits his primary physician or receives services at a hospital for treatment, the bill will go to company XYZ, not Medicare. This could mean that the individual will be responsible for either a copay, or a maximum amount.
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 commonly referred to by the MAPD (Medicare Advantage Prescription drug) plan. Some plans offer coverage for hearing, vision, wellness programs, and/or additional ancillary benefits. Medicare Advantage plans differ greatly so it is important to review each plan individually.
Medicare Advantage plans may have a premium. These premiums can be very different. Some plans have a $0 monthly cost. 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. A $0 monthly premium plan, for example, may be available in one county but not in another.