People often talk about Medicare as if it were one product. There are
actually four parts to the Medicare program.
Part A helps to cover hospital expenses
Part B helps to cover medical expenses
Part C Medicare Advantage Plans
Part D Medicare-sponsored prescription drug plans
Medicare recipients can also purchase Medicare Supplement Insurance
coverage, to help pay some of the health care costs that the Original
Medicare does not cover.
The Medicare Advantage (like HMOs and PPOs) is Medicare approved and
administered by private companies and provides all of the Part A (hospital)
and Part B (medical/doctors office) coverage. By joining one of these plans,
the Medicare recipient is still part of the Medicare program. These Medicare
Advantage Plans do have some criteria that needs to be met in order to join
them. They do not all offer the same level of benefits and cost share /
out-of-pocket expenses. Medicare Advantage Plans generally offer extra
benefits, and many include Medicare Part D, the prescription drug coverage.
These plans often have medical networks, which mean that you may have to see
doctors who belong to the plan or go to certain hospitals to get covered
services. In many cases, your costs for services can be lower than in the
Original Medicare, but it is important to check with the plan as the costs
for services may vary greatly amongst the plans.
Each person is different and has different medical needs and prescription
drug requirements. Without doing the proper homework, Medicare recipients
could be exposed to unnecessary costs by selecting the wrong plan. Many do
not research the prescription drug costs and fall in the coverage gap (donut
hole), or they do not consider their lifestyle in their plan selection, eg.
Original Medicare has no overseas medical coverage.
For assistance in navigating your Medicare Plan Options, contact an
independent benefit consultant who is contracted and certified with a broad
portfolio of different Medicare plans. An independent agent will assess your
individual health plan needs and help you select the best plan for you.
For more information about this subject, contact
Pardeep K. Vedi C.I.C.
at American Insurance at
407-678-7747
or e-mail
agent@insurancesavers.com