Medicare health plans are Advantage and Supplemental plans for original Medicare Part A and Part B. There are two main options for seniors: Medicare Advantage, AKA Medicare Part C and Medicare Supplemental, AKA Medigap.
Medicare Advantage (Medicare Part C) replaces Original Medicare by limiting your network to a local, HMO-type network while adding extras like prescription drug coverage, dental, and vision. Medicare Advantage offers r low to no monthly premiums, usually subject to a deductible, copays, and coinsurance.
Medicare Supplement (Medigap) are standardized plans that fill in the gaps of Original Medicare. The benefit of being standardized is that all providers must offer the exact same coverage, and the you only need to shop by price.
Medigap can cover Medicare’s deductibles, copays, coinsurance, and offer additional coverage such as covering the first three pints of blood, extends hospitalization, and foreign emergency healthcare. These plans maintain Original Medicare’s nationwide network of doctors, this with the extended coverage generally makes the Medigap monthly premium higher than Medicare Advantage.
Making a decision between Medicare Part C and Medicare Supplement Insurance is really up to your needs and budget. For the greatest financial protection, our clients have found that Medigap, with many first-dollar coverage plans, limits their financial burden, however some clients find its monthly premium to be too expensive for their budget. For those clients, we suggest looking into a Medigap Plan F high-deductible (which offers the same coverage as Medigap’s most comprehensive plan, but with a deductible of $2,140 for 2014, but with a low monthly premium) or Medicare Advantage. The benefit of the MA plans are the inclusive Rx coverage.
For further help deciding between a Medigap and Medicare Advantage plan call the number above or if you’re ready to get started click here for a Medicare health plan quote.
By Caren on October 25, 2016
I have Medicare A and B and Champva. Do I need Medicare advantage or anything else?
By James Schaefer on September 01, 2016
I receive my medical care at a nearby VA Hospital and have Medicare, Parts A &B plus Medicare Supplement Plan F. I've contacted my Supplemental Insurance company and they stated that they had rejected ever claim presented by the VA because it had to go through Medicare first. I am happy with the care I receive at my VA Hospital, but could use the $165 monthly fee to my Supplemental insurance company myself, Since they are paying anything to the VA. If I cancel, what difference will it make?
By deborah haddock on August 21, 2016
Ok I really confused. I am close to turning 65, applied for Medicare and I have received y card but it states it is for Plan A only. I also am a veteran but pay for medicine and doctor visits, because of my income is to high to qualify for no cost care. So I am not sure what I need to apply for. If I retire at 66 my income will dramatically be reduced. So, any help will be appreciated. I have been receiving mass amounts of mail from insurance companies in regards to insurance. Again thank you for your help.
By Jeannie on May 30, 2016
My mom will be 75yrs old in August. She uses VA for everything and is pretty healthy. Recently discovered she never signed up for Medicare when she turned 65 yrs. I am concerned if she ever had an accident and had to go to emergency room would she be covered by VA especially if she goes to a non-VA hospital? She herself is the veteran. Really concerned if she signs up for Medicare now how much her payments will be. Any advise?