Medicare Perk Tactics
Medicare Advantage plans can be distinguished from Medicare supplement coverage by having many differences. I recommend to my clients that Medicare Advantage plans be considered alternatives to Original Medicare coverage. Original Medicare includes Parts A, B and Medicare Advantage plans are sometimes called Part C or MA plans. Original Medicare only covers Medicare Advantage. Medicare Advantage plans must also cover all services not covered by Original Medicare.
Original Medicare has providers billing Medicare at first, and then a supplement firm. After Medicare and the private supplement companies have paid their respective portions, the individuals could be responsible to pay the remainder. Medicare Advantage plans have the private insurance company being billed. 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 commonly referred to by the MAPD (Medicare Advantage Prescription drug) plan. 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 include a premium. These premiums can be very different. There are plans that offer a $0 monthly Premium. Individuals still need to pay Part B premium to be able to enroll in Medicare Advantage plans. Access to plan options varies depending on where you live. For example, in one county, a $0 monthly premium policy may be available. However, it may not be in another.