Understand the Medicare Advantage Plans basics from Original Medicare and beyond
We offer comprehensive Medicare plans to individuals throughout Florida. If you have Medicare Part A and Part B, you qualify for a Medicare Supplement or a Medicare Advantage Plan. Contact us today to learn more about Medicare plans in Florida.
Traditional Medicare includes Part A and B. The government supports these. Understand that Original Medicare (Parts A and B) does not cover the entirety of your clinical costs. Other Medicare plans exist to help give extra coverage to the individuals who need it.
Part C, or Medicare Advantage plans: are health care coverage plans in the United States that gives Medicare benefits through a private health guarantor. This Medicare protection plan incorporates coverage for everything Part A and Part B covers and, in some cases, Part D, contingent upon the plan.
Medicare Part D or Medicare prescription drug benefit: is a government program to help Medicare recipients pay for physician recommended drugs through physician drug protection premiums.
Medigap or Medicare Supplement Insurance: alludes to different private healthcare coverage plans to enhance Medicare in the United States. Medigap protection gives coverage to a significant number of the co-pays and a portion of the co-protection identified with Medicare-secured emergency clinic, gifted nursing office, home medical care, rescue vehicle, sturdy clinical gear, and specialist charges.
Medicare Advantage plans, also known as “MA Plans” or “Part C” are an alternative to traditional medicare. While you still have “Medicare” these plans bundle medicare part A and Part B, oftentimes even part D to give you a comprehensive plan option. These plans are regulated by the federal government and any company who wishes to offer a MA Plan must abide by strict regulations.
MA Plans cover all of the same services that traditional medicare would cover, while often adding some additional benefits such as: Dental, Vision, Hearing, gym membership, transportation and much more.
What you pay when you see the doctor or have an inpatient/outpatient procedure depends on several factors. Medicare pays a fixed amount to the Insurer each month for your services, and the plan must abide with certain boundaries, but each medicare advantage plan can charge different out of pocket cost and even have different rules by which you can obtain services, so long as they stay with the boundaries set forth by Medicare
While not all MA Plans offer Part D (prescription drug coverage), most do. Each plan chooses the copay and or coinsurance for drugs based on a tier rating. This information can be found in your plan formulary.
Medicare Supplements do not in unison with Medicare Advantage plans. If you are enrolled in a Medicare Advantage plan and choose to enroll in a stand alone PDP plan, you will be disenrolled from your medicare advantage plan and return to original medicare