Medicare Advantage
Medicare Advantage is a type of health policy approved by Medicare that is administered by private companies. Medicare Advantage plans combine Medicare Parts A, B, and D into one plan and usually use a network of providers and hospitals. These plans are most offered as HMOs and PPOs. Though they are provided by private insurers, Medicare Advantage plans are tightly regulated and funded by CMS. The private insurers are accepting all the risk for your care. You must continue paying your Part B premium.
Medicare Advantage plans can change benefits and costs every year. Drug formularies change as well. Please reach out to Utah Valley Medicare so that we can compare and recommend the best Medicare Advantage plan that will suit your current health needs. We service Utah Valley with the very best Medicare Advantage Plans available. Our services and advocacy are at no cost to you and do not affect your premiums. We love working our community and helping seniors save premium dollars and find the best Medicare benefits in Utah Valley.
How Medicare Advantage Plans Work
A Medicare Advantage plans are offered by private insurance companies that contract with Medicare to help with the cost left behind by Medicare Part A and B with smaller co-pays and a maximum out of pocket. These plans have the following features and benefits:
No or Low monthly Premiums
Network based care
Maximum Out of Pockets
Some Additional Benefits Available
No Deductibles
Multiple Plans to Choose from
Many have Part D drug plans included
Medicare advantage plans are contracted with Medicare each year and can and often change year to year, that is one reason why a Medicare Advantage plan is subject to the annual enrollment period each year from October 15th through December 7th. Medicare Advantage plans are mostly HMO based network type plans with service area restrictions. Many Medicare Advantage plans have prescription plans included and also have some additional benefits that are not part of original Medicare like gym memberships or vision and dental.
Medicare Advantage Plans
Medicare Advantage plans or “Medicare Part C” type plans are contracted with Medicare to deliver the administration of Medicare through a private insurer. Some of these types of plans include prescription dug coverage and can have some additional benefits original Medicare does not include.
Which is best…Medicare supplements or Medicare Advantage?
The answer to this varies from person to person. Satisfaction depends largely on a customer’s expectations, budget, and style of care they prefer. We find that people who do not mind paying a premium and who want maximum doctor choice are often good fits for supplements. Also, people who travel frequently or who want to minimize co-pays and co-insurance often prefer this type of coverage as well.
For Medicare Advantage plans, the lower premium options are a very popular feature for those willing to utilize doctor networks, get referrals, and pay co-pays and co-insurance when they access care, The extra benefits (such as routine dental, vision, and hearing) not covered by Medicare are also very enticing and popular when considering a Medicare Advantage plan. The agents at Utah Valley Medicare are well versed and highly proficient in presenting the Medicare options to you in a way that will make sense and be easy to understand. Our goal is to first understand your situation and present plans that will best fit your needs. Please call us: 801-209-7704 and ask for Franklin. You can also schedule an appointment online.