The differences between Original Medicare, Medigap and Medicare Advantage can be overwhelming! There’s no one-size-fits-all when it comes to Medicare, or health care in general. It’s important to sit down with an expert and review your budget and your needs carefully.
If you’re considering a Medicare Advantage Plan (Part C), you may want to ask about these benefits:
All coverage in one easy to manage plan
The best part about a Medicare Advantage Plan is having all your services covered under one plan. Medicare Advantage plans cover everything that Original Medicare covers as well as dental, hearing, vision and more. If you need all these services covered, it may be easier for you to have them all covered under one easy-to-understand plan.
Limits on out of pocket
The cost for your Medicare Advantage plan may be the most confusing thing about it. These plans are private products and premiums, deductibles and out-of-pocket costs can vary greatly. However, each plan is required by Medicare to stick to an annual maximum out of pocket cost. In 2021 the Maximum out-of-pocket limit is set to $7,550.
Deductibles, copayments and coinsurance costs all count toward the out-of-pocket maximum but your monthly premium costs do not.
Fitness programs, transportation, meal services, prescriptions, dental, vision, hearing
Original Medicare plans do not cover services like dental, vision and hearing. You would need to purchase those plans separately. With a Medicare Advantage plans these services are often packaged in. Some plans also offer prescription or Medicare Part D.
For an additional cost, some Medicare Advantage providers may also offer benefits like fitness memberships, transportation to medical appointments and meal services to encourage members to stay healthy.
Even if these benefits sound great from the outside, it’s important to sit with a knowledgeable expert to determine if they are right for you. Prices for certain services in a Medicare Advantage plan may go up if you get sick. An original Medicare with a Medigap plan may be a better fit for your budget.
If you chose a Medicare Advantage plan and are not happy within the first 12 months you can leave the program (trial right) and return to Original Medicare. If you need assistance, Diane “Dee” Lee can help with these questions and more. Reach out today!
Diane “Dee” Lee Insurance, is an experienced licensed insurance broker and representative providing Medicare (parts A and B), supplemental Medicare, Medicare Advantage (part C) and Medicare Prescription (part D) plans. Diane Dee Lee Insurance also provides healthcare plans to cover dental vision, hospital stays and more. Serving as a Medicare Broker in Deer Valley, Peoria, Glendale, the Phoenix-metro area, as well as the counties of Pima, Pinal, Coconino, Gila, Mohave, Apache, Navajo, Maricopa and Yavapai. Licensed and appointed with multiple insurance carriers, Dee is available to meet in person (with necessary social distancing guidelines) or virtually. Please call (623) 251-6612 or email dleeski@reagan.com