- You must have Medicare Part A and Part B.
- Offered by private insurance companies
- Combines hospital costs and doctor and outpatient care all in one plan
- Plans have low premiums, sometimes as low as $0
- Plans in our area generally include prescription drug coverage
- Plans charge co-pays and coinsurance when you use their services which can change from year to year
- Each plan has a yearly maximum out-of-pocket limit. This limits how much you will pay as long as you use in-network services. These maximum out-of-pocket limits can be as high as $6,700 which is more than some people can afford. You are able to buy additional insurance to help you cover some of these costs. Call Nancy at 216-287-8832 for more details
- The insurance company generally require you to use it’s network of doctors and facilities and to get referral to see specialists.
- Getting routine care when you are out of the service area varies greatly from plan to plan and may not be available at all
- Can include additional benefits such as gym memberships, hearing, vision and dental coverage
- Medicare Advantage plans are required to cover (at least) all services that Original Medicare covers with the exception of hospice care
- Cannot be combined with a Medicare supplement insurance plan
- Admission vs observation – If you are in the hospital but the hospital has you listed as under observation (not as admitted) it affects what co-pays apply to your situation. It does make a difference
How do I choose which Medicare Advantage plan?
Use the Medicare plan finder on medicare.gov to see what plans give you the best prescription prices, then make sure that plan covers your doctors, next consider the co-pays for covered services, Maximum Out-of-pocket, coverage if you travel, and additional benefits the plan offers. OR do it the easy way and call Nancy at 216-287-8832 for a free consultation.
How do Medical Advantage plans work
https://www.medicare.gov/sign-up-change-plans/medicare-health-plans/medicare-advantage-plans/how-medicare-advantage-plans-work.html
Things you need to know about medicare advantages
https://www.medicare.gov/sign-up-change-plans/medicare-health-plans/medicare-advantage-plans/how-to-join-a-medicare-advantage-plan.html
