The Medicare Advantage Plans come as a wonderful solution to address the healthcare needs of the individuals over the age of 65 years. However, it demands that you are choosing the right plan from the right provider so that you can get the maximum extent and scope of coverage, when you need it the most. This requires you to pick the most suitable plans, and in such instances, you need to give special attention on the points that are discussed in the paragraphs underneath.
There are chances for differences in the coverage, terms and conditions and the rate of premium
The Medicare Advantage Plans come from Private Insurance companies, approved by Medicare. These companies enjoy the complete liberty to design the terms & conditions for governing the policies, complying with the minimum service conditions, as set by Medicare. Likewise, the rate of premiums is decided by these parties, without any attempts of influences by Medicare. Hence, even if you are getting the same extent and scope of coverages, you might require paying a premium at different rates, compared to the rate paid by any other individual. For instance, even if a friend or relative of yours is enjoying the plans, coming for Zero Premium, you may not find such plans from your provider.
Likewise, if your provider decided to move out of the network, you will have to find a new provider, and in such instances, it is most likely that you will have to comply with a new set of regulations or pay premium at different rates.
Even the zero premium plans are likely to involve some indirect expenses
Even if you are lucky to find a plan for Zero premium, don’t be in the 7th heaven of happiness, as it is likely that these plans involve some elements of indirect expenses. For instance, it is likely that your plan involves provisions like deductibles, Co-payments and coinsurance that indirectly compels you to incur some expenses, before the policy comes to any of your significant benefit. Most importantly, even after getting these policies, you will have to go on paying the insurance premium for the Part B coverage of the original Medicare plan.
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On the positive side, even after taking the Medicare Advantage Plans, you will continue to receive the benefits under the Part A and B of the original Medicare Plan. On the other hand, these plans extends additional benefits like coverage on prescription drugs as well as coverages on routine dental, hearing and vision care.