Medicare Advantage or Supplement

Medicare Advantage or Supplement

Original Medicare compared to Medicare Advantage HMO or PPO
Medicare Advantage or Medicare Supplement in Boynton Beach

How to choose between Medicare Advantage or Supplement

When Comparing Medicare Advantage Plans

  • Enrolling in a Medicare Advantage Plans is the second way to get your coverage from Medicare.
  • If you enroll in a Medicare Advantage plan, you will no longer be in Original Medicare.
  • On the other hand, many providers don’t accept Medicare Advantage Plans.
  • Do your doctors accept Medicare Advantage plans? If they don’t, will you change doctors?
  • Which plans do your doctors take? If your doctors don’t take any plans, will you switch doctors?
  • Do you travel or have a home out of the area? As a result, you may be out of network in a Medicare Advantage Plan.
  • Original Medicare will allow you to see Medicare providers anywhere in the U.S.with no referrals or provider networks.Therefore, you have complete freedom to choice who you use.
  • What would a Medicare Supplement plan cost in monthly premiums?
  • Get to know and compare the annual premium increases, vs. other insurance companies.
  • Can you afford the recurring monthly premiums for a Medicare Supplement plan and a separate drug plan? If not, you best option is a Medicare Advantage Plan.
  • Medicare Advantage Plans offer extra benefits such as free or no-cost benefits such as dental, vision, hearing, gym memberships and more? Therefore, you may want to sign up for supplemental plans.

How do Medicare Supplement Plans in Florida Work?

  • Most States offer 10 Medicare Supplement Plans. Each plan has a different letter which defines its benefits. The benefits are standardized, so each company’s plan with the same letter, has the same benefits.
  • Also, these plans vary in coverage, cost sharing and monthly cost.
  • Rates vary by your age, sex, zip code, and if you use tobacco.
  • There are several steps to Buying a Medigap Policy as described in this AARP article.
  • As a result, when you look at these plans, you will have to balance the coverage with the monthly cost.
  • Medicare Insurance broker will help you choose the right Medicare Supplement plan.

What Are the Annual Costs in Each Plan?

  • What is the plans’ costs and coverage in the Summary of Benefits. In order to find out, you will need to review it.
  • What is the annual maximum you can be charged for your help costs in a Medicare Advantage plan? This is known as the Annual Maximum out of Pocket. It’s important to know that your drug costs are not included.
  • Original Medicare has no cap on what you can spend on health care in 1 year. Therefore, your costs may be much higher than in a Medicare Advantage Plan.
  • Equally important is the annual Maximum Out of Pocket in your budget because you may hit it if you get very sick?
  • Does the Medicare Advantage plan have a monthly premium or an annual deductible? In order to compare your costs, you will need to know.

Prescription Drug Coverage Issues:

  • What are your drugs costs and coverage in a Medicare Advantage plan or Medicare Supplement? In many case, your drug costs will be lower in the Medicare Advantage Plan. That is because it’s included ‘in the plan’s benefits with no extra charge.
  • How much would a separate drug plan cost each month, and what are the other costs?
  • Are your medications covered in the Medicare Advantage plan’s Drug List? If they aren’t, I recommend you find another plan or ask your doctor to change your medications to ones in the drug list.

In Summary, there are many questions and answers and important decisions to make. In addition, there are multiple plans to consider. Renee Lempert, Medicare Insurance Broker since 2006 has years of experience and training to help you find the right Medicare Plan in Florida, North Carolina and Ohio.

Renee Lempert. Boynton Beach Medicare Insurance Agent
Medicare Advantage or Supplement Florida

Talk with Renee Lempert Now!
(561) 704-9302