Health Insurance Perk Program
Medicare Advantage plans are different from Medicare supplements in that they offer several advantages. My clients are advised to consider Medicare Advantage plans 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 allows providers to bill Medicare initially and then later 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. If an individual who has a Part C or MA plan with company XYZ visits his primary doctor, or receives services in a hospital setting, the bill will be sent not to Medicare but to company XYZ. 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 often include prescription drug coverage. These plans are sometimes referred as MAPD plans (Medicare Advantage prescription drug). Some plans cover dental, vision and hearing as well as wellness programs and other ancillary services. Medicare Advantage plans come in many forms and must be evaluated individually.
Medicare Advantage plans come with a premium. These premiums are variable. There are some plans that charge $0 per month. However, to be eligible for Medicare Advantage plans, the individual must still pay the Part B premium. The availability of plan access can vary greatly from one county to the next. For example, in one county, a $0 monthly premium policy may be available. However, it may not be in another.