Are you considering a Medicare Advantage Plan to save money?
Some Medicare Advantage plans are providing richer benefits than in the past, and they are becoming more popular for those who are not afraid of taking more of a risk with their out of pocket costs. These plans may or may not work better for you, depending on your health and/or financial situation.
With Medicare Advantage there may be anywhere from $3000 to $6700 maximum limit per year out of pocket for co-pays and co-insurance. You could have co-pays for Doctor visits, tests, procedures, etc., and possibly co-pays per stay or per day if you have to be hospitalized. However, depending on where you live, you may not have to pay a monthly premium ($0).
If you are healthy and don’t visit the doctor very often then the Medicare Advantage plan may work very well for you. Most plans have the Rx Drug plan built in, and sometimes there are extra benefits such as Dental, Vision, Fitness memberships, and Over the Counter item benefits. There are Networks, so you will need to make sure your doctors accept the plan in order to get the lowest costs for services. Some plans won’t cover you if you go out of Network.
If you would rather have a predictable monthly cost and all, or most everything covered if you get sick, then a Medicare Supplement would be your best option if it fits within your budget. There are no Networks. You can see ANY doctor or provider nationwide who accepts Medicare. Your Supplement will be accepted and it does not matter which carrier you have the policy through. Medicare pays the 80% and the Supplement picks up 20%, less deductible or co pay, depending on which plan you have.
You would also need to pick up a Part D Rx drug plan as a stand alone policy, as this is not included in the Medicare Supplement plans.
We offer both types of plans, so we can guide you to the right choice of plan for your specific needs.
- *Important * You still have to keep paying for your monthly Medicare Part B premium, whether you have Medicare Advantage or a Medicare Supplement.
There are assistance programs available for lower income individuals that help pay for the Medicare Part B monthly premium and also Extra Help for medications. Call us at (800) 783-5901 for more details on these programs to see if you might qualify.
Compare Medicare Supplements to Medicare Advantage Plans:
| Concerns of Seniors: | Medicare Supplement | Medicare Advantage |
| Restrictive Network of Doctors and Hospitals | NO | YES |
| Up to $6,700 Yearly Out of Pocket Costs | NO | YES |
| Plan Decides What Tests and Procedures Are Approved For You? | NO | YES |
| Can Your Coverage Be Cancelled? | NO As long as premiums are paid on time, it can’t be cancelled for any reason. |
YES The company can decide not to offer your plan in any given year. |
| Can You Travel Throughout the U.S. and See Any Doctor or Hospital? | YES | NO |
| Is Prior Authorization Required for some Treatments? | NO | YES |
| Accepted at MD Anderson Cancer Treatment Center? | YES | NO |
| Accepted at Mayo Clinic? | YES | NO |
Let us help you find the best plan for your situation.
To contact us please call (800) 783-5901 or send an email to Info@usamedicareplan.com
