Do I Need A Medicare Advantage Plan?

As an adult that has turned 65 years of age, you need to consider your health insurance options. While you are required by law to enroll in Medicare Part A (hospital insurance) and Part B (medical insurance), you have options when it comes to obtaining Medicare Advantage health insurance.

The Medicare Advantage Plan is not supplemental insurance to Original Medicare, but rather an HMO or PPO. The Advantage Plan does afford you additional benefits that you will not have with Original Medicare, which is why many individuals choose to have this health insurance plan.

With Medicare Advantage, you will be able to see doctors and other medical professionals much like you would with private insurance companies. With this medical plan, you can select from a range of contracted health insurance providers that are approved by the government as your preferred insurance provider.

You will have to pay a premium in addition to your Original Medicare premium to have the Medicare Advantage Plan. However, you will have additional coverage for your health insurance needs. Like Medicare Original, Medicare Advantage provides hospital and medical insurance coverage but gives you additional options for your medical treatment.

With Medicare Advantage, you have the choice to select an HMO or a PPO insurance provider, which may cost less if you use the medical providers that are listed within the plan’s network. You also have the option to select a private-fee-for-service (PFFS) plan, that lets you see a doctor that is out of the plan as long as the provider accepts the payment terms of the PFFS plan

There are also Medicare Advantage plans for special need patients. These individuals may be living in a nursing home or have a chronic medical condition. This plan provides specialized care under the Medicare Advantage plan.

You can also opt to have an HMO Point-of-Service plan that lets you have medical services at a higher copayment or coinsurance. This also falls under the Medicare Advantage plan.

Choosing to have a Medicare Advantage plan in addition to your Original Medicare plan is based on your medical needs and personal preference for health insurance. Some individuals have special medical needs or want to work with more flexible medical coverage versus a government-run program.

Medicare Advantage does offer additional medical coverage that you will not receive with a Part A and Part B Medicare plan. This can help you have all the medical services that you previously held with your employer or need to maintain your health.

What Type of Benefits do I Receive with a Medicare Advantage Plan?

Under the Medicare Advantage plan, you will receive an additional series of healthcare benefits. This additional coverage can provide you with a more well-rounded medical plan. Some of the additional benefit coverage you will receive with a Medicare Advantage health insurance plan include:

  • Prescription drug coverage
  • Vision care
  • Hearing care
  • Dental care
  • Gym membership
  • Wellness programs

When choosing a Medicare Advantage plan, you need to understand what type of coverage you are looking for with your health insurance. Because each Medicare Advantage plan offers different types of coverage, you need to fully understand the offering and how it relates to your medical needs.

The cost of a Medicare Advantage plan will vary based on the provider as well as the coverage that you receive through the plan. Medicare Advantage does not cover hospice care, which is where your Medicare Original plan will take over and cover.

For this reason, many individuals choose to select both a Medicare Original plan, which is required by law and a Medicare Advantage health plan. This can provide you with all the coverage you need for your medical needs in addition to some added benefits that can provide a more comprehensive medical coverage plan.

The Medicare system does not have to be a challenge. While it is a complex system, there are professionals that can help you understand the coverage and what might be the right health insurance plan for you. As you look for health insurance coverage at the age of 65, consider adding a Medicare Advantage plan to your health insurance coverage.

Help For Your Medicare Advantage Plan Enrollment

If you are looking to secure a Medicare Advantage plan and additional assistance, contact the team of lawyers at Massive. Massive is your source for resolution liens, resolutions, and Medicare Set-asides. It has a staff of attorneys on hand that understand the intricacies of Original Medicare, Medicare Advantage, and Medigap. They can provide you with the legal assistance you need and help you obtain the insurance coverage you are looking for with your Medicare plan. Contact us today to set up a consultation. We are ready to assist you today.