An overview of the Medicare Advantage Plans

Even if the majority of the people, subscribed to Medicare avails the benefits as per the original coverage plan, few people prefer to opt for the Medicare Advantage Plans. These are basically the contracts  between the  policyholders and the Federal Government to pay a specific amount of money per head for availing the medical benefits.

What are the most common plans of Medicare Advantage?

Health Maintenance Organizations, Private Fee-For-Service as well as the Preferred Provider Organizations, are the most common channels for availing the benefits under Medicare Advantage Plans. However, in some instances, you are likely to find plans  for special needs, plans coming from the sponsored organizations as well as the Savings accounts for Medicare Medical plans.

You need to keep in mind that, even if you have enrolled in the Medicare Advantage Plans,  you will still be eligible to receive the benefits, receivable under the original Medicare. It implies, you have to pay the premium for the Part B coverage. Each of these plans, offers, the benefits, availed under Part A and B, however, it is likely to involve different sets of regulations, costs, as well as restrictions that are likely to affect the manner by which you receive the care and the time to receive such care.

It is necessary that these plans include a ceiling on the extent of the out-of-pocket expenses for availing the services, mentioned in Part A and B. These plans are likely to offer additional benefits like dental or vision care that are not covered under the provision of  the original Medicare plan.

The premium for these plans are usually charged in addition to the amount you are paying for the Part B benefits. In addition, the providers are likely to charge a fixed amount that you are responsible to pay for receiving a service any time. In some instances, this fee is charged as a fixed percentage of the cost for the service that you avail

To join the 2018 Medicare Advantage Plan, you need to comply with the following conditions:

  • You are having the Parts A and B of Medicare.
  • You are a resident of an area, covered within the span of the service framework.
  • You are not having End-stage Renal Ailments. In case, you have this existing condition that compels you to opt for transplantation of the kidney or you need dialysis, you need to subscribe for some special plans that would accept people with such existing health conditions.