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About Medicare Advantage Plans

Don't be fooled by a Medicare Advantage Plan.

What is a Medicare Advantage Plan? 

With a Medicare Advantage Plan, your healthcare is managed through private insurance companies instead of Original Medicare. With a Medicare Advantage Plan, the private insurance company has been given the ability to make their own claims decisions and some claims decisions have been made with profitability in mind. The premiums associated with Medicare Advantage Plans are generally lower than those for a Medicare Supplement; however, when you go see a doctor or specialist, or go to the hospital, you will have co-payments to pay. Medicare Advantage Plans claim they offer more benefits and services designed to help improve your overall wellness. However, you need to ask yourself this important question. "Are the benefits offered by a Medicare Advantage Plan such as eye and hearing examinations worth more than the freedom with Original Medicare to choose any healthcare provider in the USA that accepts Medicare patients - with no networks to worry about, no doctor referral needed and no prior approval required?"   (See Good Morning America's Video: Medicare Advantage Plan Denies Coverage). 

Can I Use My Medicare Card with a Medicare Advantage Plan?

NO. You will NOT be able to use your red, white and blue Medicare card when you go to the hospital, doctor, specialist or any healthcare provider. This means you are no longerenrolled in the federal government-run health program. This means  and you must follow the rules of the Medicare Advantage Plan you have joined. When you join a Medicare Advantage Plan, you are required to use the Medicare Advantage Plan insurance card when you visit the healthcare providers in their network and NOT your Medicare card.

Don't Be Fooled by a Medicare Advantage Plan.   

A Medicare Advantage Plan is COMPLETELY different from Original Medicare. If you enroll in a Medicare Advantage Plan instead of Original Medicare, you are still required to pay the Medicare Part B premium. 

Can I switch Back to Original Medicare From a Medicare Advantage Plan?

Yes. you can switch back to Original Medicare during the annual election period from October 15 through December 7, however, you may NOT be eligible to switch to a Medicare supplement plan. In most cases, you will have to go through medical underwriting to qualify for a Medicare Supplement if you do not enroll during your open enrollment or guaranteed issue period. If you wait until a later time to enroll in a Medicare supplement, you risk potential health issues that could prevent you from getting a Medicare Supplement in the future. 

Medicare Advantage Plan vs. a Medicare Supplement Plan

Click to view videos: See what patients and doctors say about Medicare Advantage Plans.  

Good Morning American Video on Medicare Advantage Plans

Medicare Advantage from a Doctor’s Perspective

 

 
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