Insurance Plans of America Blog
Medicare Advantage plans can be more restrictive than Medicare fee-for-service (FFS). They may not cover all the services you need. You may have to switch to a different Medicare Advantage plan if your medical needs change. Many private insurance companies offer Medicare Advantage plans that charge no premium. Still, they often limit your choice of doctors and hospitals.
What Medicare Advantage plans charge no premium?
Some Medicare Advantage plans in the Star Alliance and United Healthcare networks don't charge premiums.
In addition, Medicare Advantage plans may cover your out-of-pocket spending in the Medicare Part D drug program. This means that Medicare Advantage plan members can enroll in the plan and use Medicare Part D to buy their medications and then keep using it while they receive their Medicare coverage.
However, some Medicare Advantage plans limit the number of drugs you may get. Also, Medicare Advantage plans may require that you try and fail with other types of coverage before switching to Medicare Advantage. Some Medicare Advantage plans may limit the number of drugs you may get.
Are there any downsides to Medicare Advantage plans charging no premium?
Individual Medicare Advantage plans are offered by private insurance companies that contract with Medicare. The benefit is that you can continue to see your doctors, and it's easier to compare similar plans on various health care measures.
But that also means that the plans might not cover everything you need. To find out whether your doctor is in the plan's network, you'll need to ask or find the plan's network on Medicare's website. The program will show you whether it has in-network hospitals and doctors.
Also, if you want your prescriptions to be filled at a pharmacy that participates in the plan's network, you'll need to enroll in that plan and get their list of covered pharmacies.
How to determine which Medicare plan is right for you.
In addition to cost, some Medicare Advantage plans include coverage of very expensive treatments such as intensive psychiatric hospitalization.
Medicare plans generally won't cover such costs if they're provided for "inpatient" stays in skilled nursing facilities, hospitals, psychiatric hospitals, or "facilities for people with mental disorders." In other words, they won't cover any care outside the traditional inpatient setting (a hospital).
Choosing your Medicare health insurance is a personal choice that should be based on your family's health, lifestyle, and budget. For more information on selecting a health care plan, please check out the Medicare website at medicare.gov.
At Insurance Plans of America, we put our clients first by offering them policies that they can afford. Having insurance is a necessity nowadays, and we're here to help you out. Learn more about our products and services by calling our agency at (877) 752-6711. You can also request a free quote by CLICKING HERE.