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THE ADVANTAGES OF MEDICARE ADVANTAGE

Medicare Advantage plans offer variety of plans associated with variety of benefits. It should be noted that before applying for a plan, you should first know how these plans work and the benefits and services you will receive. You also need to be able to know which plan meets your needs since it has a wide array of coverage. Rules will be set in every plan so you must follow those rules to enjoy the network.

Medicare Plan C or Medicare Advantage plans are offered by private health insurance companies which are regulated by the rules of Medicare. Not only that it covers both hospital and medical care coverage, it also allows you to have your vision, hearing, and dental services secured as well as drug prescription coverage (Part D) and other medical or health wellness programs.

You have a lot of options to choose to under this Medicare plan:

  • Health Maintenance Organization (HMO) – only utilizes your needs to the doctors or health care centers under its network except in cases of emergencies.
  • Preferred Provider Organization (PPO) – this plan will charge you different rates because of its “preferred” services.
  • Special Needs Plans (SNP) – limits its membership to people with chronic medical conditions like diabetes, HIV/AIDS, chronic heart failure, dementia and End-Stage Renal Disease. Elders who also live in nursing homes or require nursing care at home can avail this plan.
  • Private Free-for-Service (PFFS) – unlike HMO and PPO, this plan offers you a choice in which doctor you would want to have. But if you applied under a network, you are obliged to follow the rules set to limit your out-of-pocket expenditures.
  • Medical Savings Account (MSA) – these plans are medical savings accounts associated with high deductible health plans.

The above list are the most common plans under Medicare Advantage since there are a lot of offered plans depending on the network coverage. Thus, it consists of the same or distinct advantages depending on which plan you prefer. Below are the list of benefits you are expected to have under Medicare Advantage:

  • Coverage options does not only limit to Part A (Hospital) and Part B (Medical) but as well as Part D (Drug Prescription Coverage). Hence this plan is an all-in-one convenient plan.
  • Since there are different plans to choose to, some benefits might vary depending on your condition or needs.
  • These plans usually have $0 premiums and low or no deductibles since your maximum out-of-pocket spending will all be set. This means you can save a lot of unexpected costs under this plan.
  • The professionals under Medicare Advantage will really give you the services you deserve. They are well-coordinated in which the healthcare team will communicate with you and will ensure that you are well-taken care of. 
  • Other than Part A and Part B, you will also have regular doctor visit, preventive care, drug prescription coverage, vision, dental, hearing routine services, and fitness services.

The above-mentioned services are only the most common benefits you are expected to get once you enroll to Medicare Advantage. Other benefits also exist depending on which plan you chose.

Sandra Brown: A successful entrepreneur herself, Sandra's blog focuses on startup strategies, venture capital, and entrepreneurship. Her practical advice and personal anecdotes make her posts engaging and helpful.