With Medicare Advantage covering your medical expenses, you can breathe a sigh of relief.
The powerful medical benefits can cover healthcare costs you might have had roleplaying for in the past, and you will get to enjoy having fewer out-of-pocket costs with the right Medicare Advantage Plan.
We’re going to look at some of the options as well as how pricing can change for the upcoming year and how you can apply.
We hope this information is useful to you as you try to pick the right coverage plan for next year.
Enrolling in Medicare Advantage
Medicare enrollment opens up to seniors at age 65. Around that time, they will have seven months to enroll.
This Open Enrollment period comes with guaranteed approval, so no insurance company can say that they won’t accept your application. They have to accept you.
They also cannot charge you a higher than normal price just because of a health condition you have. This is your best time to apply for Medicare Advantage plans.
If you decide not to enroll right when you turn 65, then you can apply later during what is known as the annual enrollment period. This runs from October 15th until December 7th.
You don’t get the same kind of protection and guarantees then as you would during Open Enrollment. Applying at this later date means you are at risk for having your application denied or your rates increased because of a preexisting health condition.
The medical condition you have will still be covered, per Medicare’s regulations, but you may pay more for your plan because of your health.
In order to enroll in Medicare Advantage, you will need to be 65 years or older, and you have to have the Original Medicare plan as your base coverage.
The Advantage plan adds to that health insurance policy and bolsters its coverage, giving you greater benefits.
How Medicare Advantage Can Cover You
What kind of benefits do you get from a Medicare Advantage plan? There are some medical benefits that you always get, regardless of which of the Medicare Advantage plans you enroll in.
The base coverage for Medicare Advantage plans covers almost everything included in Original Medicare, such as doctor’s office visits, hospitalizing, nursing care, some medications, lab testing, preventative medicine, and at-home healthcare services.
You also get covered for any emergency medical care you need, like ambulance services and ER care. You’ll also be covered for urgently needed medical services.
This base coverage is often just the start of what is included in a Medicare Advantage plan. The majority of them come with powerful drug coverage for prescription medication.
This is known as a Medicare Part D plan, and it is common coverage for Medicare Advantage 2021. You can buy Part D on its own if you like, but you may save money if you get it included in your Medicare Advantage plan.
It will cover many common prescription drug costs, but the actual coverage provided will vary from one insurance company to the next, so pay close attention to ensure that drugs that are relevant to you are being covered.
A large number of Medicare Advantage plans also come with checkup benefits. This will cover the cost of visiting your dentist or audiologist for a routine checkup.
It can also cover optometrist visits and annual checkups with your general practitioner. Some Advantage plans that include checkup benefits are more robust than others.
They may cover you for a variety of dental services like bridgework and fillings that would not normally be covered during a routine checkup.
Some of the Advantage plans will combine prescription medication coverage and checkup coverage to give you an even more robust benefits package.
Be sure to use our site to compare Advantage plans and find the one that offers you the most suitable coverage. If you need help, then give us a call and let us answer your questions and advise you as to which plan might be right for you.
Some Advantage Plan Options to Pick from
There are many different ways that Medicare Advantage plans can cover you, however, if you go to a healthcare provider that is not affiliated with your insurance company, then you will not receive full coverage.
You will be responsible for paying for some or all of the medical care for yourself.
That kind of healthcare is considered to be off-network, so your plan may not cover it for you at all.
Most seniors sign up for the cheapest kind of Medicare Advantage plan, which is an HMO.
This has nothing to do with the medical benefits you get and instead deals with how you are covered or not covered in relation to your insurance company’s network.
An HMO plan covers you just on your insurer’s network and does not offer any coverage outside the network.
Now, if you are willing to pay a bit more and want some better coverage, then you might consider a PPO Advantage plan.
This will cover you outside the network, but only partially. On top of that, it covers you in full while on the network.
This is the kind of Advantage plan option that seniors go for when they don’t live near a network medical facility and their choices for healthcare providers are limited.
The PPO and HMO are going to be the most common kinds of Medicare Advantage plans available. Some insurers offer other options as well, though.
If you can qualify for them, Special Needs plans are great Advantage plans for seniors who are looking to save even more money. They are only available to those seniors who manage to qualify for both Medicare and Medicaid.
You may also want to consider an HMO-POS Advantage plan, which covers you fully on your insurer’s network and then gives you a medical discount on services received outside the network, operating slightly different from standard insurance.
To find out what the rates are for Medicare Advantage and to learn more about available plans, feel free to use our site and search for plans here.