Medicare Conveniences Tactics
Medicare Advantage plans can be distinguished from Medicare supplement coverage by having many differences. My clients should consider Medicare Advantage plans as an alternative 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 doesn’t cover Medicare Advantage plans. Medicare Advantage plans have to include all of the services Original Medicare covers.
Original Medicare is where providers bill Medicare first and then bill a supplement provider. After Medicare and private supplement companies have paid their portion, individuals might be responsible for the rest. Medicare Advantage plans include private insurance companies 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. An individual may have to pay a copay (or deductible) for the services received.
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 differ greatly so it is important to review each plan individually.
Medicare Advantage plans come with a premium. These premiums can vary greatly. There are plans that offer a $0 monthly Premium. 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.