If a person chooses to receive a traditional Medicare rate, they can usually use any doctor or hospital that accepts the Medicare assignment anywhere in the United States. However, Medicare has deductibles, co-payments and cost-sharing requirements that can wreak havoc on budgets. To help pay for these additional expenses, many people buy complementary Medigap or Medicare policies. The other big selling point of Advantage plans is low cost combined with expanded coverage. Plans must provide all traditional Medicare benefits by law, but most plans add additional value. They usually pay benefits for dental services, help with hearing aids and offer some vision care coverage.
Also, there is yet another benefit to choosing a Medicare Advantage policy. They provide guaranteed acceptance for every pre-existing health situation, apart from end-stage renal disease (ESRD). With these benefits, it is difficult to understand why more Medicare beneficiaries are not exploring this option. This could offer additional coverage for the same price they are already paying. With less funds for their Advantage plans of Medicare, UHC was “forced” to re-engineer its provider network, meaning that the 14 million Advantage beneficiaries of UHC Medicare may need to seek for new insurers. For example, leaving your network or the insurance company that files for bankruptcy are situations in which you would qualify for a special enrollment period outside of open enrollment.
MA’s plans have made sure they avoid needless hospitalizations by improving the use of outpatient services and medical appointments. Re-entries have also decreased due to well-planned, superior and well-planned procedures and the coordination of medical care. According to Kathryn Nix, a policy analyst at the Heritage Foundation, many comparative studies have continuously shown that Medicare Advantage plans offer higher-than-average medical services to policyholders and have better health outcomes for patients. The superior services offered by this program have contributed to the popularity of Medicare Advantage plans. People with Medicare can get medical assistance through the original Medicare or Medicare Advantage (Part C) program. Medicare Advantage plans consist of HMO, PPO, private rates for service plans and special needs plans. Of the more than 10 million people enrolled in Medicare Advantage plans, most are enrolled in HMO, available since the 1980s. To help your parents (or you) make an informed decision, they must understand how these plans work and then decide which plan is right for them. The following is a brief description of each of the types of plans.