Medicare Advantage plans combine the coverage provided by Medicare Parts A and B, as well as additional benefits, into one package (Part C). Prescription medication coverage, generally known as Medicare Part D, will be included in the majority of these plans. If you wish to enroll in one of the Medicare Advantage plans that are offered by private firms, you may do so if you currently have normal Medicare coverage or if you qualify for regular Medicare coverage under the ACA. If you enroll in Plan C, you will not be required to have all three of thiscoverage, nor will you be required to have any sort of Medigap coverage.
Original Medicare and Medicare Advantage plans 2022 are distinct from one another.
Despite the fact that a Medicare Advantage plan covers everything that Medicare normally covers, there are considerable differences between the two that you should be aware of. The majority of the time, the difference is the amount of money you have to spend out of pocket for health care. Some of these distinctions are as follows:
- Co-insurance, or paying a different proportion of your medical expenditures than what your insurance covers.
- Co-payments
- Tax deductions
- There is a network of service providers available.
- Difference between being in network and being out of network
In addition, Medicare Advantage plans 2022provide emergency medical and urgent care services as part of their coverage (Part C). Select plans may additionally include coverage for regular dentistry, routine vision, and/or wellness programs in some cases. The majority of them will provide Part D coverage. But even if you are enrolled in a Medicare Advantage plan, hospice treatment is not covered under Part C coverage since it continues to be reimbursed by Medicare.
Medicare Advantage Part C Plans Are Divided Into Several Categories
In order to select which sort of Part C plan would best meet your requirements, you must first familiarize yourself with the many types of plans that are now available. There are various different plans to choose from, including the ones listed below:
HMO is an abbreviation for Health Maintenance Organization Plan
Medical savings account plan MSA – Medical Savings Account Plan
PFFS (Private Fee-for-Service) is an abbreviation for Private Fee-for-Service Plan
A POS plan is an abbreviation for Point of Service Plan
An acronym for Preferred Provider Organization (PPO)
SNP stands for Special Needs Plans
Information on these six various sorts of plans may be found online simply by searching for the acronym or the words that it stands for in your Google search engine.
Enrollment in Part C
To summarize, the enrollment procedure for Medicare Advantage plans (Part C) will change depending on the private insurance provider you choose to enroll with. The enrollment periods, on the other hand, are the same for everyone. While enrollment is permitted after you have reached the age of 65 and become eligible for Medicare, there is a seven-month waiting period that starts 90 days before your 65th birthday and continues for 120 days following that date. Finally, if you are under the age of 65 and are getting SSDI (Social Security Disability Insurance), you will be eligible after receiving SSDI for a total of two years and one month from the Social Security Administration.
