Medicare Advantage plan is a health plan introduced by the United States government to provide more health care options for people who fall under certain criteria. The criteria are:
- If they are 65 years of age and have worked for the system and have paid during the period.
- If they are young but challenged physically.
- If they have an End-Stage renal disease or Kidney failure.
This works with some conditions but has more benefits compared to other plans. Other plans we have are; Medicare Medical Insurance (Part A), Medicare Hospital insurance (Part B) and Medicare Prescription drug Coverage (Part D).
In the Medicare Advantage plan also called Medicare Part C plan, you do not receive benefits from Medicare Supplement plan. So, why choose and Advantage options provided by Blue Cross?
Why should I choose a Medicare Advantage?
One of the reasons why you should choose a Medicare Advantage plan is; it is controlled by private institutions such as private insurance companies, religious organizations, union, and others. Therefore, works like a private insurance. It also offers a lot of health benefits which are as follows:
- Benefits of all Part A and Part B plans.
- Additional benefits such as; hearing aids, medical bracelets, laser eye surgery, healthy eating, vision services and more!
- Some Advantage plans do not require monthly premium fees. Others require as low as $25.
- This provides out-of-pocket maximum yearly.
- This may also cover emergency services out of the States.
- Under Original Medicare, you have to pay 20% of the costs incurred during doctor’s visit called coinsurance. Advantage only requires a fixed amount called co-pay.
- Most Part C plans offer prescription drug coverage.
What do I need to take note of when choosing this one?
There are certain things you need to be acquainted with when choosing this option. They are as follows:
- When choosing this plan, know that your health services are provided by the Advantage one and not your traditional plan.
- Having to use your Advantage plan card, and not your plan card.
- Having to pay your Part B monthly premium.
- Medical supplement insurance is not included in this one.
- For drug coverage, an option that includes drug coverage has to be chosen in this option.
- Residence in the plan’s service area is important.
- Ask if your doctors, hospital or health provider accepts this option. If they don’t, it will cost you more.