understanding your medical insurance policy

A Few Reasons To Consider A Medicare Advantage Plan

by Peppi Halko

Medicare Advantage plans (also known as Medicare Part C) are offered by private insurance companies approved by Medicare. These plans provide beneficiaries with additional benefits beyond what is covered by Original Medicare (Part A and Part B).

Here are four benefits of a Medicare Advantage plan

More Comprehensive Coverage

Medicare Advantage plans provide comprehensive coverage that goes beyond Original Medicare. In addition to Part A and Part B coverage, Medicare Advantage plans often include benefits such as prescription drug coverage, dental, vision, and hearing services. Some plans may also offer wellness programs and fitness memberships, which can help beneficiaries stay healthy and active.

Predictable Costs

Medicare Advantage plans have a cap on out-of-pocket costs for medical services each year. Once a beneficiary reaches this limit, the plan covers all additional medical expenses for the rest of the year. This limit can change every year. Depending on the plan you purchase you may have a lower maximum out-of-pocket limit however, the maximum can never exceed the one set by the Centers for Medicare and Medicaid Services. This feature can be especially beneficial for individuals with chronic conditions or those who need expensive medical treatments.

Provider Networks

Medicare Advantage plans have a network of providers that beneficiaries must use to receive coverage. This network can be an advantage for beneficiaries who prefer to have a regular doctor or provider. In addition, providers are able to share information about a beneficiary's health and work together to develop a comprehensive care plan. This can lead to better health outcomes and a higher quality of care. This is especially beneficial when you need to see multiple doctors and specialists to take care of your health issues. Some plans may also offer additional services, such as telemedicine, which can provide convenient access to healthcare from the comfort of home.

Cost Savings

Medicare Advantage plans often have lower premiums than Original Medicare, and some plans have no premiums at all. In addition, Medicare Advantage plans can save beneficiaries money on out-of-pocket costs such as copays, coinsurance, and deductibles by offering cost-sharing. Prescription drug coverage is also typically included in Medicare Advantage plans, which can be more cost-effective than purchasing a separate Part D plan.

Medicare Advantage plans offer several benefits beyond what is covered by Original Medicare. These plans provide comprehensive coverage, predictable costs, access to provider networks, and cost savings for beneficiaries. It's important to research and compare Medicare Advantage plans to find the best option for your healthcare needs and budget.