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Medicare Advantage Plans Tailored For You

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Aetna contracting
Oscar Contracting
Humana Contracting
United Healthcare Contracting
Cigna Healthspring Contracting
Devoted Health Contracting

What Is Medicare Advantage?

Medicare Advantage is an alternative to Original Medicare, it’s also known as Medicare Part C. These plans come from private insurance groups that contract with the government. They are made to join all parts of Medicare into one plan/part called Part C.

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Medicare Advantage Plans Are All Inclusive

Part A

Hospital coverage is included in a Medicare Advantage Plan. Visits – Stays – Home – Hospice are all covered.

Part B

Medical coverage is included in a Medicare Advantage Plan. Preventive – Diagnostic – Treatment Services are all covered.

Part C

Prescription Drugs are covered in a Medicare Advantage Plan. Providing you with a low cost to no cost Part D option.

The Different Medicare Plan Types Compared

Recommended For
Who do I pay?
Can I go to any doctor?
Where can I get routine (non-emergency) care?
Where can I get emergency care?
Will I need a referral to see a specialist
Is there a limit to my out-of-pocket spending?
Will it pay for extras, like vision and hearing aids?
Medicare A/B
Affordable Basic Option
Part B premiums, deductibles, and coinsurance. Most people would be better off applying for the medicare savings program and selecting a dual snips plan to the right. The dual snip plans may cover some or most premiums you might pay for just Original Medicare / Medicare A & B.Example: For a lengthy Hospital stay you could be responsible for over $50,000 in Medical Bills
Yes, if they accept Medicare but you must satisfy the deductible and 20% coinsurance
Anywhere in the country but you must satisfy deductible
Anywhere in the country but you must satisfy deductible
No
No
Maybe, depending on the plan
Medicare Advantage
Better For People With Low/Average Income
Medicare premiums and plan premium; your plan sets its own copays and deductibles Example: For a lengthy Hospital stay you could be responsible for over $6,000 ANNUALLY plus your monthly premiums
HMO; No, you must go to in-network providers - PPO; Yes
Most plans are restricted to your living area
Anywhere in the country
HMO; Usually - PPO; No
Yes, but YOUR Annual OUT OF POCKET MAX may be as high as $6,000
Maybe, depending on the plan
Dual Snip / Medicare & Medicaid / Medi-Medi
Better For People With Low/Very Low Income
It would depend on the level of the Medicaid or medicare savings program you may qualify for. Example: For a lengthy Hospital stay you may be only responsible for $0.00 - $1000 because the plans may be much richer in benefits than your normal advantage plan.
HMO; No, you must go to in-network providers - PPO; Yes
Most plans are restricted to your living area
Anywhere in the country
HMO; Usually - PPO; No
Yes, depending on the level of the medicare savings program you qualify for it could be ZERO
Maybe, depending on the plan
Medicare Supplement
Better For People With High Income
Medigap premiums, Part B premiums, generally no copayment Example: For a lengthy hospital stay you could have $0.00 to pay out of YOUR OWN POCKET after monthly premiums are met. Medicare Supplement premiums may buy a high out-of-pocket cost dependent upon your living area.
Yes, if they accept Medicare
Anywhere in the country
Anywhere in the country
No, unless you have a Medicare SELECT plan
Yes

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