The Truth About The Medicare Advantage

The Truth About The Medicare Advantage

Before making a decision about Medicare, you must know and understand these important truths about Medicare Advantage.

Medicare Advantage is network based.

Probably the most vital thing you need to comprehend about Medicare Advantage policies is that everyone depends on certain type of provider network. These networks are in the likes of PPO, HMO, or PFFS. Now, there may be some variations of this, however, these are the most common. I will expatiate on these networks in a later part of this article.

Advantage plans are not identical.

Though they are structured in the same way, best Medicare Advantage plans can vary different. This means that you must do your homework before joining one of these plans. You must start by identifying whether or not your providers are in the network. The second most important factor to consider, which most people overlook, is the maximum value. Don’t be surprised by comparing small things like medical copies unless the doctor’s office is your second home!

MA plans offer a maximum outlay.

Continuing with the previous point, the maximum outlay is one of the huge benefits of Medicare Advantage. If you remember my previous article on Original Medicare; It doesn’t give you that protection. For persons who cannot afford a Medicare supplement or simply want to save some money, the Medicare Advantage Maximum Disbursement feature offers great security.

Medicare Advantage remains part of Medicare.

I include this truth because I discovered that many people believe they lose Medicare benefits when they join the Advantage plan. The truth is that Medicare Advantage is actually called Medicare Part C. Yes, it replaces the benefits of Part A and Part B, but this is really a good thing for you, since it allows you in most instances not to have to spend huge deductibles and of 20%.

Medicare Advantage is not suitable for everyone!

I can’t tell you that a plan is good for everyone. Unfortunately, since each plan is different and its needs are different from those of its neighbors; I can’t tell you to participate in a specific plan. But I can say that some of the very popular policies are provided by United Healthcare, Humana, Healthspring, and Wellcare. Begin by asking yourself these questions; How important is freedom of choice when it comes to your health professionals? How important is the cost? Find out by visiting and after answering these questions, you can easily decide if you want to be in an Advantage or Original Medicare plan with a Medicare supplement.

What are SEPs? Do you need one?

What are SEPs? Do you need one?

Lately I’ve been getting this question. What is an SEP? The full meaning of SEP is Special Election Period. Now, this is a period when federal and/or state governments permit people and/or families to sign up for a health plan or new health plans, depending on what happens to them i.e. their health condition. There are over a dozen different SEPs working in the health insurance and Medicare industry. They may be similar to moving to a new policy in the area, or giving up an existing plan or gaining a position or job, may be related to reaching or losing a reached age. This could be related to special dates such as your birthday or your plan to cancel business in an existing area. These opportunities exist to help members sign up for important health insurance without waiting for the open or annual enrollment period.

Working with the right SEP can help people obtain the necessary health and Medicare plans for themselves and their families to maintain a quality of life. You can offer new or deprived rights the opportunity to get the top medical health plans they both want and need. By making correct use of the right SEP, they could be saving thousands of dollars that might not be at their disposal. There are more than 15 separate and different Special Enrollment Periods in Medicare Advantage policies, Part D policies, and Medicare supplement plans. There are about as many Special Enrollment Periods present when working with affordable medical attention or ACA. This may provide extra options and services which you may not know about them.

You are the most important thing about SEPs. Every individual needs an important medical policy for themselves or their family or spouse. Just a four-day visit to a hospital for an emergency puts the financial balance of someone with medical fees that reach 6 digits. Medical cost is the leading cause of bankruptcy in our country. Can you imagine working your whole life and facing this accident without being prepared? A total life saving can disappear completely in a matter of weeks or days, and that can be scary. The final game can be horrible. There are Special Enrollment Periods in Medicare and ACA. If you do not need one, that’s fine. If you need one, it may even be better. You just have to keep asking the questions.