Do You Need Medicare Advantage? Comparing The Pros And Cons.

​Looking for options to combine Medicare Plans A and B in a single plan? Consider Medicare Advantage. These plans, known as Part C, are offered by private insurance companies. They also partner with the government. 

Understanding Medicare Advantage Plans
Under one plan, you get protection from private insurance companies. The agencies are approved by the government. Medicare will reimburse the costs covered by your plans at a later time. It is also easier for you to monitor. Because the plans offered by Plan C combine coverage from different plans. Also, your plan may cover your needs for vision, dental, hearing, and prescriptions.

The Different Medicare Advantage Plans
The coverage conditions and requirements may vary depending on your plan. Part C will cover the physicians you consult, prescription drugs, and specific diseases. These plans are as follows:

• Health Maintenance Organization Plans
• Preferred Provider Organization Plans
• Private Fee-for-Service Plans
• Special Needs Plans

Can you apply for a Medicare Advantage Plan?
You may have access to 33 Medicare Advantage Plans if you are:

• Enrolled in Original Medicare
• A US citizen, national or legally present in the US
• Residing in your plan's service area

These are particular periods for you to apply. You can adjust the terms in your Medicare Advantage Plan:

• Initial Enrollment commences three months before you turn 65. It extends three months after.
• Open Enrollment is scheduled from October 15 to December 7. This period will allow you to join or switch plans where changes are applied every January 1.
• General Enrollment allows you to enroll from April to June. It can be done if you fail to sign up for Medicare. If you are first eligible and applied late anytime from January 1 to March 31. 

Pros and Cons of Medicare Advantage
In deciding if you are obtaining a Part C Plan, you have to determine if it is the plan you truly need for your health needs. Here are some pros and cons which you need to review. These factors you have to consider before obtaining one for yourself:

Pros

• You can cover all your requirements under one plan
• You may acquire a plan that offers no cost on premiums and deductibles
• You can include vision, dental, and hearing coverage
• There is a limit on your out-of-pocket costs

Cons

• You can only consult providers affiliated with Medicare Advantage
• Depending on the coverage, your fees may be higher
• Your benefits depend on your location
• Medicare supplemental plan cannot be combined

Do you need Medicare Advantage?
Consider getting Medicare Advantage if you want a guaranteed coverage for:

• Similar benefits offered in Medicare Part A and B
• Emergency care
• Urgent care
• Hospice services

With Medicare Advantage, you receive additional protection for the following requirements and more:

• Prescription drugs
• Over-the-counter drugs
• Dental
• Vision
• Hearing aids

At Medicare Supplement Store, we do our best to ensure that our clients are well-protected with affordable and comprehensive policies. We make sure to go the extra mile to help you with your needs. To learn more about how we can help you, please contact our agency at (732) 252-8828 or Click Here to request a free quote.