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Medicare vs Medicare Advantage
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Medicare vs Medicare Advantage

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    Medicare vs Medicare Advantage Medicare vs Medicare Advantage Presentation Transcript

    • Medicare Supplement vsMedicare Advantage
    • What youneed to know
    • Medicare Supplement vsMedicare AdvantageIn 2013, Medicarebeneficiaries have twobasic options forhealthcare coverage.Traditional Medicare andsupplemental insurance(also known as Medigap)policies and MedicareAdvantage policies.
    • Medicare Supplement vsMedicare AdvantageIt is important to note thatthere is a significantdifference betweenMedicare Advantageplans and MedicareSupplement insurance.
    • Medicare Supplement vsMedicare Advantage Learning about the differences between Medicare Advantage plans and traditional Medicare Supplement insurance is essential when deciding which coverage is right for you.
    • Medicare Supplement vsMedicare AdvantageMedicare Supplement plans: provide coverage for the “gaps” of original Medicare Parts A and B, were standardized in 1992, are carefully regulated to control the quality of coverage, and work in conjunction with original Medicare to provide healthcare coverage
    • Medicare Supplement vsMedicare AdvantageMedicare Advantage plans: a new name for Medicare+Choice (M+C), are private healthcare plans subsidized by Medicare, may take the form of an: o HMO (Health Maintenance Organization), o PFFS (Private Fee-For-Service) plan, or o PPO (Preferred Provider Organization).
    • Medicare Supplement vsMedicare AdvantageMedicare Supplement plans: are available through private insurance companies, 12 standardized policies – Plans A through L, each plan offers varying levels of coverage, benefits of each plan are the same from any insurance company across the industry.
    • Medicare Supplement vsMedicare AdvantageMedicare Advantage plans: are available through private insurance companies, unique to the company offering them, usually take the form of “Basic” or “Premium” plans, varying levels of coverage for each plan, no two plans are alike, companies are encouraged to compete for pricing and plans.
    • Medicare Supplement vsMedicare Advantage Medicare Supplement plans:  enrollees may use the doctor or hospital of their choice,  almost all doctors and hospitals across the United States accept Medicare Supplement plans,  beneficiaries may also travel the United States with little worry of coverage being available.
    • Medicare Supplement vs Medicare Advantage Medicare Advantage plans:  enrollees may be restricted to the use of certain doctors and hospital selections in a network of providers,  only those approved providers are covered in the event of treatment.For authorized agent use only. Not for public use.
    • Medicare Supplement vs Medicare Advantage Medicare Supplement plans:  are guaranteed renewable,  as long as premium payments are made in a timely manner, beneficiaries cannot be denied coverage,  laws are in place to provide beneficiaries the ability to seamlessly enroll with another company, should the company providing the supplemental policy go out of business.For authorized agent use only. Not for public use.
    • Medicare Supplement vs Medicare Advantage Medicare Advantage plans:  must sign contracts with Medicare to provide covered benefits,  contracts are reviewed annually and are subject to termination,  if the contract is not renewed, the plan may simply disenroll its Medicare beneficiaries.For authorized agent use only. Not for public use.
    • Medicare Supplement vsMedicare AdvantageMedicare Supplement plans: the 12 plans available vary in level of coverage and cost, because the plans are standardized across the industry, the level of coverage is the same from any insurance company across the industry.
    • Medicare Supplement vsMedicare AdvantageMedicare Advantage plans: may charge little or no initial premiums to their members, enrollees may frequently be charged co-pays and co-insurance for any number of healthcare treatments.
    • Medicare Supplement vsMedicare AdvantageMedicare Supplement plans: do not come with built-in prescription drug coverage, seniors may shop private companies for affordable Medicare Part D Prescription Drug Plans, different types of Part D plans are available with varying levels of cost and coverage.
    • Medicare Supplement vsMedicare AdvantageMedicare Advantage plans: many come with prescription drug coverage built-in, “Basic” plans usually have lower levels of drug coverage, “Premium” plans usually have higher levels of drug coverage.
    • Medicare Supplement vs Medicare AdvantageThe contrast between Medicare Supplementplans and Medicare Advantage plans can beextensive.With so many choices available, it isessential that potential enrollees be fullyinformed of the differences between plans.