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 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!