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Medicare Advantage Plan Is A Unique Strategy

Dec 17

Guide To Selecting A Medicare Advantage Plan allows individuals to receive all their Parts A and B benefits through a private company. While each plan must follow specific rules set by Medicare, they can offer extra services that Original Medicare does not. For example, many Advantage plans include prescription drug coverage while others provide dental, vision and hearing care.

Regardless of the extras offered, choosing a plan that meets your unique needs and budget is crucial. It’s also important to remember that plans can change each year, which means a plan that was right for you two years ago may not be the best option now.

Selecting A Medicare Advantage Plan

To choose the right plan, consider your unique health needs and preferences. For example, do you want to stay with the same primary care physician or are you interested in changing providers? Are you taking any medications that could be affected by a new plan? Do you require regular physicals and other preventive care?

Before selecting a Medicare Advantage plan, it’s also important to check with your doctor or healthcare specialist to ensure they accept Medicare. In addition, if you have employer or union healthcare coverage, it’s important to understand the rules around dropping this coverage to join a Medicare Advantage plan.

Medicare Advantage plan cost can vary significantly between plans. When comparing costs, make sure to look at the total annual cost of the plan, including both premium and deductibles. Also, be sure to compare copays and other out-of-pocket costs, as these can add up quickly.

Another key factor to consider is whether the plan offers a network of healthcare providers that is large enough to meet your needs. Some plans have broader networks than others, but it is difficult to determine which ones are the best by simply looking at provider directories. In addition, these directories are often out of date and difficult to read and compare.

A final consideration is the overall quality and performance of a plan. Each year, Medicare publishes a star rating system to help consumers compare plans. The ratings range from one to five stars, and are based on up to 38 different quality and performance measures.

Medicare Advantage plans that have a higher star rating typically offer better customer service, more annual screenings and preventive care, and fewer denials of coverage for services deemed medically unnecessary.

It’s important to know that if you enroll in an MA plan, you can only leave the plan during an open enrollment period or during a special election period. In addition, some Medicare Advantage plans may not accept individuals with End-Stage Renal Disease (ESRD).

You can enroll in a Medicare Advantage plan during your initial coverage election period, which is the seven-month window that begins three months before your first month of entitlement to Medicare Part A and ends on the last day of your enrollment in Part B. You can also enroll during the general Medicare open enrollment period, which runs from Oct. 15 to Dec. 7 each year.

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https://tampapostregister.com/medicare-supplemental-insurance-plans-in-general/

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