Medicare Advantage Plans Boynton Beach
What are Medicare Advantage Plans?
Medicare Advantage is also known as Medicare Part C. They are private insurance plans offered by insurance companies who have a contract with Medicare. The plans must offer the same benefits as Medicare A and B.
Medicare Advantage Plans Include:
Part A (Hospital) and Part B (doctors and outpatient services) for Medicare beneficiaries. In order to enroll in a plan you must have Part A and B, live in the plan’s service area, and not have end stage renal disease.
Some plans include prescription drug benefits. Most of the plans offer extra benefits such as preventive dental, vision, hearing, and gym memberships.
What are the Pros and Cons of Medicare Advantage Plans?
Medicare Advantage Plans are commonly known as HMOs and PPOs. They have networks of providers. These providers have signed a contract with the insurance company to accept the plan’s payment and rules.
If you enroll in a HMO, you can only use a provider who is in the plan’s network. You will need to have a Primary Care doctor in network who will give you referrals to specialists. Your Primary Care doctor will also manage your care.
A PPO allows you to go out of network to see providers who haven’t signed a contract with the insurance company. However, your costs seeing them out of network will be higher than in network.
For a more detailed discussion of Medicare Advantage plans, go to this page.
What do Medicare Advantage Plans Cost?
Most of the Medicare Advantage plans have no or a low monthly premium. You will need to continue to pay your Part B monthly premium to Medicare.
How and When to Sign up For Medicare Advantage Plans?
There are specific times when you can enroll in or cancel your membership in a Medicare Advantage plan. These are called valid enrollment periods. They include your Initial Enrollment period, the Annual Enrollment period and Special Enrollment periods. Visit this page for a more detailed discussion.
Questions to ask. Original Medicare vs Medicare Advantage Plans
So, which is right for you? Original Medicare managed by Medicare or a Medicare Advantage plan managed by a private insurance company? The answer depends on many factors, such as your list of doctors, your financial situation, whether or not you travel out of the area and how much freedom of choice you would like.
How Much are Medicare Advantage Plans?
Your costs for Medicare Part A depends on whether or not you or your spouse worked for 10 years in the United States. It is free if you did.
Everyone pays for Part B, unless they have Medicaid assistance from the government. There is a monthly premium for Part B. The amount varies depending on your income.
Social Security Site to Apply for Medicare
The easiest way to enroll in on Social Security’s website.
For guidance enrolling in Medicare and finding the right Medicare Advantage plan in Boynton Beach, contact Renee Lempert (561) 704-9302.