The other alternative to enjoy Medicare benefits is to avail Medicare Advantage Plans. Such plans are said to replace part A & B benefits of Original Medicare with coverage being provided through private insurance provider. Majority of the plans do have extra coverage for being competitive. For instance, few are said to provide coverage for eyeglasses, dental services, prescription drugs and hearing aids, which is not done by Medicare. However, there is present one exception with Medicare coverage as it provides coverage for cataract.
This is one significant aspect of Medicare Advantage Plans. The plans in some areas may cost nothing beyond Part B Medicare premiums. The other star attraction is they accept all types of health problems but not ESRD (End Stage Renal Disease).
Things to know
Some things are to be taken into consideration prior to enrolling with Medicare Advantage Plans. Most plans are found to cover just non-emergency care, having own list of hospitals and doctors. As Medicare coverage is replaced by Advantage plans, the individual is not likely to get coverage through Medicare if out-of-network doctor is to be visited.
Every Advantage plan is said to have its own rules. However, all are expected to abide by Medicare guidelines. Medicare Advantage Plans in 2018 are to offer better coverage when compared to Medicare. It will be useful to check the doctor list and the prescription that the plan will pay.
Trial periods are rarely offered by health insurance. It will be necessary to get enrolled prior to December 15. In case, the person changes his mind, then he is eligible to get back to Medicare benefits between 1st January and 14th February, the following year.
Special ‘Try out’ period
It is considered to be the only time, when any of the Medicare Advantage Plans can be tried out on completing the initial sign-up period, on becoming eligible to apply for Medicare. It is regarded to be a once in a year event that helps the person to get access to the MA plan type out of the innumerous options offered by different insurance companies and insurers. If this chance is lost, then it is likely that the person will have to pay more, only to receive less coverage than bargained for.
Depending upon the area of residence, it is possible to come across varieties of MA plans when compared to Medigap insurance plans.