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Medicare Advantage – 5 Things To Know About Advantage Plans Before You Enroll


Get Instant Access http://free-mini-course.com I explain 5 things you should know about Medicare Advantage before you enroll. It doesn’t make sense to even compare Medicare Advantage plans until you know how it works, who is eligible and when you can enroll in a plan.

As a senior health insurance option, Advantage plans seem to be shrouded in confusion. One reason is because unlike Medicare supplemental insurance, plans are not standardized which makes shopping for a plan more difficult.

If you would like to get the facts about Medicare Advantage vs Medicare supplement insurance, check out my Free 8 Part Video Mini-Course on Medicare Plans.

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The first thing you need to know is that an Advantage plan is not a Medicare supplement. So what is Medicare Advantage? The Medicare and You Handbook states that it is a Medicare health plan like a PPO or HMO and is sometimes referred to as Part C.

Plans are offered by Private insurance companies and you are still enrolled in Medicare. You will receive all Part A and Part B benefits from the Medicare Advantage Plan and drug coverage is often included.

The second thing you should know is how plans work. And that begins with knowing whether or not you are eligible to enroll in a plan. To be eligible, you must:

Have Medicare Parts A and B
Live in the plan’s service area
Not have end-stage renal disease

All Advantage plans have premiums if it is {videoDescription} per month. Plans shouldn’t be referred to as a free Medicare Advantage plan. Premiums are normally lower than premiums for Medicare supplements.

There are 6 types of Advantage plans and you will normally be subject to a provider network. It is paramount to be certain your providers are included. Check for your preferred specialists, ancillary facilities and hospitals in addition to your primary provider.

If you are enrolling in a plan with drug coverage, be sure all your drugs are included in the plan’s formulary.

Many people search for Medicare health plans that include extra benefits and are often disappointed when they find Medicare supplements to be lacking. Medicare Advantage plans often include extra benefits not found in original Medicare. They may include:

Dental
Vision
Hearing
Silver Sneakers Gym membership
Transportation to and from medical appointments

Third. You need to be aware of when you can pursue Medicare Advantage enrollment. There are 3 types of enrollment periods.

When you first become eligible you have a 7 month window to submit an application. Next, during the Medicare Advantage Annual Election period you can switch, drop or enroll in a plan. And you may have a Special Enrollment Period available if your circumstances have changed.

The fourth thing you need to understand is Medicare Advantage plans are not standardized. Plans are offered County by County and premiums, provider networks, benefits and cost sharing amounts vary widely between plans.

When you compare Advantage plans there are 3 plan documents that are very important to research and understand.

The Summary of Benefits goes into much greater detail than the enrollment brochure. It lists all plan benefits and what each will require in deductibles, copayments, or coinsurance.

The Provider Directory should be you companion until you locate all your providers or find some you are willing to live with.

The Part D drug formulary should include all your required medications. Enrolling in a Medicare Advantage plan that does not include all your drugs can wipe out any savings you may have had over choosing another type of Medicare health plan.

The fifth thing you need to be aware of is how any cuts to Medicare Advantage will affect you.

Understand that a lot of what you hear is politically motivated talking points designed to instigate fear.

Although given the current political climate future funding for the Medicare Advantage program is tentative at best.

If you feel as though enrolling in an Advantage plan is your best option, you should do it. If there are Medicare Advantage cuts in the future and you lose your plan you may qualify for Guaranteed Issue Rights to buy a supplement, even if you have preexisting conditions.

Also, keep in mind that everyone wants to enroll in the best Medicare Advantage plan. And that will be the one that aligns with your specific set of circumstances.

Facts About Medicare Advantage Plans In California

Recent changes and adjustments to Medicaid and Medicare have cause significant confusion and upheaval for those considering their healthcare options. California’s Medicare Advantage structure has been subject to some notable changes lately with which you should become familiar. Fortunately, the plan itself is not terribly complicated. The paragraphs below are intended to provide useful insights into Medicare Advantage in California.california medicare advantage plans

Though called by numerous names, the program is essentially a government-funded option that channels funds usually spent on traditional Medicare. The good news is that consumers are given a wider array of options from which to choose. In this manner, it is possible to find plans that more closely match your needs. In the past, plans were something of a single-size, single-options proposition. What is even better is the fact that now it is possible to include coverage for prescription drugs, something that used to require a totally distinct policy.

You also no longer need to be concerned about a decrease in coverage. There is the ability to secure a plan that provides coverage while you travel as well as one tailored for those with limited incomes.

Of course, not everything associated with this type of plan is perfect. One negative aspect is the fact that it is sometimes difficult to get help when questions arise. You may find yourself speaking with someone who lacks sufficient knowledge to really help you decipher elements of your plan. This can lead to real frustration so we recommend you work with the agents at CaliforniaMedicareAdvantage.com so they can work as a go between with you and the insurance companies.

You may be feeling a bit of uncertainty with regard to recent changes to our healthcare structure. But the fact is that California’s Medicare Advantage plans are surprisingly easy to understand and their benefits are quickly apparent to almost everyone. Thus, if you suspect you are eligible to participate, get in touch with an agent today or start conducting research on your own to find out more.


Don’t Live Your Life Without Health Care, Tips For The Best Options!

Health insurance can cover medical issues both minor and traumatic, but the bigger the bill, the more you’ll appreciate having the right coverage. It is safe to have sufficient health insurance, and these tips can help you get the coverage you need for your family.

Make sure you consider your overall health, as well as that of your family, as you make your policy selections. If you have no current health issues, you may get a policy that has a cheaper premium. This can be risky; although you pay less per month for this type of coverage, you’ll have to pay out of pocket for medical care if you develop a serious health condition.

To save the most money possible on health insurance premiums, consider catastrophic coverage instead of a more comprehensive one. While comprehensive has more benefits, catastrophic only covers emergency care and hospital care.

Understand that every health insurance policy has loopholes. It is essential to read your insurance policy thoroughly to familiarize yourself with what is and what is not covered. Be prepared in advance to pay out of pocket for things that may not be covered, like certain medications or procedures.

Generic prescriptions are a great way to reduce cost, regardless of what type of insurance policy you have. Generic drugs contain the same active ingredients as brand name medications, and are available for most prescription medications.

Choose the type of health insurance plan that best suits your needs. You can select from among an HMO, a PPO or even a POS. These insurances plans all have options you need to know about before you buy. If you like your present doctor, make sure with any policy you choose there is an option to stick with him.

It is important to have health insurance because you don’t know what may happen in the future. Illness and accidents may strike without warning. Compare a variety of insurance policies before you decide on the one that will best meet your needs.