An Introduction to Medicare Advantage Plans

An Introduction to Medicare Advantage Plans

Buying an adequate and affordable insurance plan can be a daunting experience. There are many options, but not all are suitable for everyone. Medicare Advantage plans have been popularly used since the programs were first introduced in 1997. Also known as “MA Plans” or “Part C,” these programs are part of Medicare. If you are 65 years of age or older, it will be of great benefit to carefully evaluate whether this program is right for you and to compare its benefits with other health insurance programs.

You probably may have observed that Medicare and a complementary plan cost a lot more than any health care plan in the market today. For instance, there are many Medicare benefit policies that are free of charge for every elderly citizen who are registered already in Part B of Medicare. Generally, you must pay this Part B premium. These copays and deductibles will continue to exist, depending on the scope of your health care plan. Depending on the type of additional benefit included in the plan, you may have to pay an additional premium.  Learn more about Medicare advantage plans.

With Medicare Advantage plans, you get as many additional benefits as mentioned above, additional coverage that you won’t find in traditional Medicare. Again, this consists of prescriptions, dental coverage and vision care. In any case, in order to use some of these benefits, the insurer may request that you obtain a referral from your primary care physician, in addition to having to see a doctor in your network. While everything Medicare normally covers is covered by a Medicare Advantage plan, there are some differences between them. Most of the time, the difference is in the amount paid for medical care. Some of these differences include:

  • co-insured or paid a different percentage of your medical bills
  • copays
  • franchises
  • Network of available providers.
  • Red vs. out of network

In addition, emergency medical care and emergency care are included in the Medicare Advantage (Part C) plans. In some cases, routine dental programs, routine vision and/or well-being may also be covered by some plans. Most will include Part D coverage. However, Part C coverage does not include hospice care, even with a Medicare Advantage plan, as it is still covered by Medicare. You must understand that all insurers are structured to earn money. As a result, they only accept to run the risk of the medical bills of the elderly because they think they can make a profit, they are accepting that type of risk on the basis that they will earn much more money than they need to spend.