This is one of the health benefits under Medicare plan if you belong to any of these categories:
- People who attain the age of 65 years & have worked and paid into system.
- Young people who are physically challenged.
- People who have an End-Stage renal disease or kidney failure.
- medicare advantage plan 2019
This Medicare plan includes all benefits enjoyed in Medical Insurance (Part B), Hospital Insurance (Part A) and Medicare Prescription Drug Coverage (Part D). Apart from these benefits, it also has additional benefits but could come at an additional cost. Options offered by Medicare Part C include:
- Health maintenance organization (HMO): Where there is a restriction from getting services outside a specific network of local providers, although there is an exception for emergency and urgent situations.
- Preferred provider organization (PPO): This is like HMO, but you can see health providers outside the network at your own cost.
- Private fee-for-service plans (PFF): Here, you only need to pay the co-insurance it allows you at the point of service.
- Special Needs Plans (SNP): This is for people with special needs. They may include coordination of care, medical appointments transportation fees, money for everyday health items, and coverage for dental health and vision.
What advantages do I enjoy?
There are several pros associated with enrolling in this plan. Among them include:
- Lower premiums: Medicare Part C has an advantage of members paying less in monthly premiums than they would in Medicare Supplemental, some even have no monthly fee charged, while some have a monthly fee as low as $30. Each fee varies with your location, which is why it is advisable to find out which company is operating at your convenience.
- Drug coverage: Most Medicare Part C plans covers for drugs, but you will have to select one option that includes drug coverage. Stand-alone drug coverage does not work here.
- Some extra benefits: such as coverage outside the United States, Out of Pocket limit (OOP), health club memberships, reduction in 20% co-pays and a high rate of deductions in original Medicare.
- Easy single-payer system.
- It is similarity to a private insurance.
Are there any disadvantages?
This plan will also cost you differently based on the following:
- Whether the plan charges a monthly premium or not.
- If it pays any of your monthly Part B insurance or doesn’t.
- If the plan has deductibles or not.
- The difference in copayment for a doctor’s visit.
- If your plan’s formulary covers your drugs or not.