| Tue, Nov 06, 2018 @ 08:00 AM

9 Good Reasons Why a Medicare Advantage Plan Might Be Right for You

Posted by Medicare Made Clear

You may be hearing more about Medicare Advantage plans (Part C) this year than in the past. These are private plans approved by Medicare that offer a different way to get your benefits.

Medicare Advantage plans have gained popularity since first being introduced by the Balanced Budget Act of 1997. Here’s why.

1. Lower monthly premium payments

The average monthly Medicare Advantage premium is expected to decrease to $28.00 in 2019 compared with $29.81 in 2018.1 Plan premiums can vary, though, and may even be $0, so it’s important to shop around. You continue to pay the Part B premium to Medicare. The standard Part B premium is $135.50 in 2019.

2. Financial peace of mind

Medicare Advantage plans provide a financial safety net with a set annual out-of-pocket cap. If you reach the cap, then your plan covers 100% of your covered health care costs for the rest of the year. Medicare sets a maximum cap but many plans set their caps below that. The maximum cap is $6700 in 2018. There is no out-of-pocket cap with Original Medicare, though you can add a supplement plan to help cover some costs. Learn how Medicare Advantage and Medicare supplement plans compare here.

3. Dental, vision and hearing coverage

You don’t automatically get coverage for dental, vision or hearing care with Original Medicare. For a simple solution, most Medicare Advantage plans offer the coverage as part of their benefit package.

4. Extra support for your health and well-being

Starting in 2019, Medicare Advantage plans are including even more benefits that you don’t get with Medicare. You may find plans offering fitness packages, in-home medical visits, transportation to medical appointments and more. Offerings like these are expected to expand even further in 2020 and beyond.

5. Built-in prescription drug coverage

You don’t need a separate Part D plan with most Medicare Advantage plans because drug coverage is a built-in benefit. How simple is that?

6. The simplicity of a single plan

With Medicare Advantage, you have one complete plan to cover your health care needs – doctor visits, prescription drugs, hospital care and more. One plan, one premium and one point of contact for your Medicare questions.

7. Easy access to services and providers

Oversight by your primary care provider and access to an extensive network allow you to see providers and specialists for the care you need. Your primary care provider can easily refer you to the services you need.

8. Emergency care anywhere

You can rest assured that you will get the care you need should you have a health emergency – no matter where it happens. All Medicare Advantage plans are required to provide coverage for urgent and emergency medical care throughout the U.S.

9. Comprehensive care coordination

Most Medicare Advantage plans are coordinated care plans. That means that all your care is brought together under one umbrella so that it can be seen as a whole. The goal is to improve your health outcomes, avoid overlapping tests and procedures and promote clear communication.






The Bottom Line

Medicare Advantage may be a great choice for you. The important thing is to pick a plan that fits your personal needs. You get to choose every year during the Medicare Annual Enrollment Period, Oct. 15 – Dec. 7.

For more information, explore MedicareMadeClear.com or contact the Medicare helpline 24 hours a day, seven days a week at 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.

1Medicare Advantage Premiums Expected to Dip in 2019