Medicare Advantage (MA) is offered by a private company that is contracted through Medicare to provide seniors with Part A and Part B benefits. These plans are usually HMOs or PPOs, but can also be a Private Fee-for-Service Plan, Special Needs Plan, or Medicare Medical Savings Account Plan.
Medicare Advantage plans replace Original Medicare in the following ways:
**Each Medicare Advantage plan may set up its own way of how your receive services, such as if you need a referral for a specialist and if you have to stay in network. You will need to check with your provider to see how your plan works for you.
Medicare Advantage plans, like most things, have pros and cons. Let’s go over the positives first:
Medicare Advantage Pros
Medicare Advantage Cons
Medicare Advantage offers a lot of benefits at a low-cost. These plans are inexpensive, basic plans, that can limit your out of pocket costs, as long as you read the fine print, are okay with copays that can add up and a limited network, this might be the right fit. If you have further questions call the number above or contact Senior65.
By jr on April 27, 2017
is is my understanding that some states/zip codes provide a class 5 plan... that would mean that some zip codes allow for open enrollment while others don't assuming you meet the loop hole criteria which is that you have already had some kind of prescription plan and want to convert the current to other coverage... i hope my understanding is correct. if it is where is the fairness and who chooses those zip codes that can qualify or offer year round enrollment why us others have to wait until open enrollment in october... i guess if you get sick during the closed months of any plan, it's your problems to pay for any drugs you need during the lapse time.. is my statement right and is this fair to everyone?
By Leviticus Bennett on March 24, 2017
That's nice that medicare advantage plans offer extras for least expensive premiums. I'm going to help my grandparents choose a medicare plan, so I'm trying to do my research. My grandparents would love a plan that gets them a gym membership, so I'll keep in mind this type of plan.
By marianne on December 22, 2016
One more question re Medicare Advantage plans (HMO) Does the maximum out of pocket include out of network procedures/doctors? Thank you!