Medicare coverage can be received in different ways. Medicare Advantage plans and the Medicare supplement plans are the two plans that appear similar, but in reality they are different. The only thing that is common in these two is that they are provided by private insurance companies.
The Part A and B Traditional Medicare is government program for people qualifying by disability or age. This includes some expenses that are spent from the pocket such as coinsurance, copayments and deductibles, but getting a Medigap will cover these.
Medicare Advantage plans provide alternative way to get Medicare benefits through Medicare-approved private insurance company. Here, they include Part A and B Medicare coverage and also provide additional benefits that are not included in Traditional Medicare.
Generally, at one time you cannot enroll in Medigap and Medicare Advantages plans.
Medicare Advantage plans
Having a MA plan, means you must have Part A and B Medicare to be qualified for MA Plans. It administers based on the plan and there are additional benefits such as hearing services, vision, routine dental and drug prescription coverage. Different types include:
- HMOs that expect you to use the network plan designated health-care providers and need referrals from primary-care physician to visit a specialist.
- PPOs also expect usage of providers from the established network as they cover most medical costs within the network. There is no referral required.
- PFFs assess the amount to pay for providers of health-care and the responsibility of the beneficiary to spend from his pocket.
- MSAs deposit into checking account of health-care that is used to pay before deductible is met for health care costs.
- SNPs are customized insurance plans for people with particular health conditions.
Shop around and sign for Humana Medicare Advantage plans 2019 at https://www.medicareadvantageplans2019.org so that the coverage and cost details are right. Ensure it is available in your area.
Medicare Supplement insurance plans
Known as Medigap it is sold through private insurance companies. It functions as supplemental coverage and offers no prescription drug coverage. The Medigap plans cover costs such as copayments and coinsurance, emergency medical care, deductibles, etc while you are out of the U.S. Medigap has 10 standard plans and the benefits are the same from anywhere you purchase.
The standard plans cover some costs going out of pocket. So if you wish to enroll in Medigap also, compare carefully the policies as the costs may vary depending on the location and plan.
No matter in what you enroll, Medicare Advantage Plans or Medigap policies, you must pay premium for Part B.