Health Insurance Benefit Tactics
Medicare Advantage plans can be distinguished from Medicare supplement coverage by having many differences. My clients are advised to consider Medicare Advantage plans an alternative to Original Medicare coverage. Original Medicare includes Parts A, B and Medicare Advantage plans are sometimes called Part C or 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. Individuals could be responsible for the remaining portion of the Medicare supplement company and Medicare. 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. This could mean that the individual will be responsible for either a copay, or a maximum amount.
Medicare Advantage plans can sometimes be called “all in one” plans, as they include other coverages. Part C plans may include prescription drug coverage. These plans are also known as MAPD (Medicare Benefit Prescription Drug) plans. 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 can have a premium. These premiums can vary greatly. Some plans have a $0 monthly cost. However, to be eligible for Medicare Advantage plans, the individual must still pay the Part B premium. Access to plan options varies depending on where you live. For example, a $0 monthly Premium Plan may be offered in one county, but not in another.