Medicare Advantage Coverage Details
Medicare Advantage Plans - Administered by Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans. Most plans will still have deductibles, co-pays, and coinsurance; similar to Original Medicare.
Joining - Medicare Advantage doesn't work the same way as Original Medicare, so before you join, take the time to do your research. Although they come with the convenience of paying one carrier, they may be more expensive for out-of-pocket costs in the long run. Coverage is dictated by the carrier, not Medicare.
Rules - Carriers providing this coverage must follow rules set by Medicare, and Medicare pays these providers each month for your coverage. Each plan can charge different out-of-pocket costs and can dictate how you get services, such as needing a referral or determining what suppliers belong to the plan for non-urgent care. These rules can change each year.
Drug Coverage - Most Medicare Advantage plans include drug coverage. You can join a separate drug plan if the Advantage plan cannot provide coverage, or chooses not to provide drug coverage. If you join a different drug plan, when your HMO or PPO Advantage plan covers drugs, you will be automatically put back on Original Medicare.
Find out more details about Medicare Advantage
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Ask your doctor
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Visit our in-depth post: What is Medicare Advantage?
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Visit the Medicare Advantage Page on Medicare.gov for more info
How much does it Cost?
Pricing Varies depending on your market, age, coverage and carrier. It’s important to discuss this option with your Agent carefully if you're considering it. To find out how to join, switch, or make changes:
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Join - You can use medicare's plan finder or call an agent
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Switch - During your enrollment period or the annual election period, contact Original Medicare or call an agent.
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Drop - If you have employer coverage available please contact an agent to do a side by side comparison. Please have your outline of coverage available.
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