Health Insurance 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 covers Parts A and BC. Medicare Advantage plans, also known as Part C or MA plans, are part of Original Medicare. 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 private supplement companies have paid their portion, individuals might be responsible for the rest. Medicare Advantage plans have the private insurance company being billed. The bill is sent to company XYZ – not Medicare – if the individual has a Medicare Advantage Part C (MA Plan) and visits his primary care doctor. This could mean that the individual will be responsible for either a copay, or a maximum amount.
Medicare Advantage plans are sometimes called “all of the above” because they provide coverages beyond medical. 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 can be very different and should be carefully reviewed on an individual basis.
Medicare Advantage plans come with a premium. These premiums can be very different. 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.