A Medicare Advantage Plan is a brilliant alternative to your Original Medicare plan. Instead of being administered by the government, these plans are provided by various private Medicare Companies.
Various Types of Medicare Advantage Plans:
Various kinds of Medicare Advantage Plans have been explained below and it must be kept in mind that most of these plans provide Medicare Part D prescription drug coverage.
Health Maintenance Organization Plans (HMO):
A Medicare HMO Plan provides you access to a network of physicians and hospitals that provide health services to you in case of emergency. They lay a major stress on prevention. This enables you to receive more Medicare benefits as compared to the Original Medicare Health Plan and Medicare Supplement Insurance Plans.
A Medicare HMO Plan has got the most restrictive network out of all the Medicare Advantage Plans as it does not provide Medicare coverage in case if go out of network without prior approval.
HMO with Point of Service Option:
This is a kind of Medicare HMO plan that offers a flexible network to the people enabling them to obtain Medicare Health Insurance services outside of the network under certain conditions. You may have to pay some extra money for visiting doctors or hospitals out of your network.
Preferred Provider Organization Plan (PPO):
A PPO Plan includes a network of physicians and hospitals that provide you Medicare Health Care. Similar to the Medicare HMO Plan, a PPO provides large numbers of Medicare Benefits to the people when compared to Original Medicare and Medicare Supplement Insurance plans.
Medicare PPO Plans have their own network of physicians and hospitals, but also give you an option to pick out any doctor or hospital outside the network by paying a higher co-payment or co-insurance.
Private Fee-For-Service (PFFS):
A PFFS Plan is a kind of Medicare Advantage Plan which allows people to visit Medicare-approved any physician or hospital they want to. The only condition here is that the doctor or hospital should accept Medicare as well as the terms and conditions of the plan.
Under this plan, one usually receives extra benefits that the Original Medicare does not provide. It must be noted that The PFFS Plan is the most flexible Medicare Health Insurance Plans, but it is completely in the hands of the doctor or hospital to accept a plan member or not.
Medicare Special Needs Plans (SNPs):
These are special Medicare Advantage Plans that provide Medicare coverage for Medicare recipients with particular chronic conditions such as Cancer and Diabetes etc. Generally people with particular medical conditions are permitted to enroll under a SNP.
Medicare Medical Savings Account (MSAs):
Medical Savings Account combines both high-deductible Health Insurance plan and your medical savings account in which you can deposit a particular sum of money annually. You would be able to make use of this money to cover the expenses related to Medicare Parts A and B. As and when your deductible is met, the Medicare plan continues to pay further for Medicare services.
Does each Medicare Advantage Plan provide you the Same Coverage?
This is not true. Each Medicare Advantage Plan extends different kind of Medicare benefits. Even though all of the Medicare Advantage Plans at least cover the basic Medical services, they may charge different deductibles, present you with co-insurance or several co-payment terms like 30 % of the procedural cost.
Some of the Medicare Advantage Plans have a limit on precisely how much a person can spend annually and a few Medicare Advantage Plans do not out any kind of limit on spending. These Medicare Advantage Plans likewise render extra benefits such as dental treatments, eye check up, and membership in health clubs etc.
To conclude, Make sure that you understand the Medicare coverage prior to enrolling yourself in any plan. If you are unsure, kindly ask questions to BestMedicare Supplement Insurance Company.
Medicare Advantage Plan
Monthly Payments (Average) |
Number Of MA Contracts |
Advantage Plan Penetration |
|
United States |
$734 |
United States |
428 |
United States |
17.5% |
|
Alabama |
$692 |
Alabama |
41 |
Alabama |
15.2% |
Alaska |
NA |
Alaska |
39 |
Alaska |
0.5% |
Arizona |
$651 |
Arizona |
50 |
Arizona |
30.1% |
Arkansas |
$640 |
Arkansas |
39 |
Arkansas |
8.23% |
California |
$652 |
California |
52 |
California |
30.7% |
Colorado |
$649 |
Colorado |
37 |
Colorado |
28.2% |
Connecticut |
$681 |
Connecticut |
40 |
Connecticut |
9.1% |
Delaware |
$658 |
Delaware |
37 |
Delaware |
2.23% |
District of columbia |
$776 |
District of columbia |
41 |
District of columbia |
8.12% |
Florida |
$840 |
Florida |
74 |
Florida |
23.1% |
Georgia |
$680 |
Georgia |
49 |
Georgia |
8.1% |
Hawaii |
$639 |
Hawaii |
41 |
Hawaii |
34.4% |
Idaho |
$647 |
Idaho |
40 |
Idaho |
18.2% |
Illinois |
$680 |
Illinois |
56 |
Illinois |
7.22% |
Indiana |
$641 |
Indiana |
45 |
Indiana |
9.5% |
Iowa |
$618 |
Iowa |
42 |
Iowa |
11.8% |
Kansas |
$675 |
Kansas |
44 |
Kansas |
6.2% |
Kentucky |
$653 |
Kentucky |
45 |
Kentucky |
8.4% |
Louisiana |
$855 |
Louisiana |
42 |
Louisiana |
16.1% |
Maine |
NA |
Maine |
38 |
Maine |
2.23% |
Maryland |
$815 |
Maryland |
41 |
Maryland |
5.5% |
Massachusetts |
$737 |
Massachusetts |
42 |
Massachusetts |
14.2% |
Michigan |
$816 |
Michigan |
44 |
Michigan |
14.1% |
Minnesota |
$645 |
Minnesota |
40 |
Minnesota |
26.2% |
Mississippi |
NA |
Mississippi |
38 |
Mississippi |
6.51% |
Missouri |
$663 |
Missouri |
45 |
Missouri |
15.2% |
Montana |
$591 |
Montana |
38 |
Montana |
11.2% |
Nebraska |
$650 |
Nebraska |
37 |
Nebraska |
8.21% |
Nevada |
$757 |
Nevada |
41 |
Nevada |
29.1% |
New Hampshire |
$653 |
New Hampshire |
33 |
New Hampshire |
2.1% |
New Jersey |
$807 |
New Jersey |
42 |
New Jersey |
8.2% |
New Mexico |
$651 |
New Mexico |
41 |
New Mexico |
20.1% |
New York |
$811 |
New York |
64 |
New York |
21.2% |
North Carolina |
$647 |
North Carolina |
40 |
North Carolina |
13.3% |
North Dakota |
$591 |
North Dakota |
37 |
North Dakota |
5.51% |
Ohio |
$674 |
Ohio |
54 |
Ohio |
17.1% |
Oklahoma |
$666 |
Oklahoma |
42 |
Oklahoma |
11.3% |
Oregon |
$647 |
Oregon |
53 |
Oregon |
34.3% |
Pennsylvania |
$778 |
Pennsylvania |
59 |
Pennsylvania |
31.1% |
Rhode Island |
$655 |
Rhode Island |
37 |
Rhode Island |
30.2% |
South Carolina |
$646 |
South Carolina |
43 |
South Carolina |
8.22% |
South Dakota |
$591 |
South Dakota |
36 |
South Dakota |
3.2% |
Tennessee |
$655 |
Tennessee |
47 |
Tennessee |
16.1% |
Texas |
$742 |
Texas |
57 |
Texas |
13.0% |
Utah |
$644 |
Utah |
40 |
Utah |
16.5% |
Vermont |
NA |
Vermont |
34 |
Vermont |
1.1% |
Virginia |
$671 |
Virginia |
43 |
Virginia |
8.7% |
Washington |
$644 |
Washington |
47 |
Washington |
19.1% |
West Virginia |
$707 |
West Virginia |
40 |
West Virginia |
6.23% |
Wisconsin |
$618 |
Wisconsin |
46 |
Wisconsin |
18.2% |
Wyoming |
NA |
Wyoming |
35 |
Wyoming |
2.3% |
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