Medicare Advantage Plans, Why do you need it?

Understanding the options in Medicare is essential to manage your healthcare costs during the retirement period.


The biggest challenge faced by the retirees is in managing the costs of healthcare and especially with seniors, acquiring Medicare Advantage plans is essential. This is because the Medicare Advantage plans are a good substitute for traditional Medicare, but do not actually understand its working system. In fact, the seniors do not know if the plan they have chose in worse or better.


Often it is noted that with Medicare Advantage plans, there is some misunderstanding. Here we shed some light on the programs offered by Medicare, so that you comprehend the Medicare Advantage plans.


Medicare Advantage plans are ideal for people over 65 and can be availed from any private insurance company.  Medicare Advantage plans participants are benefited as they can always get all the Medicare coverage such that it includes Hospital care of Part A and Medical services Part B and prescription drug coverage Part D. All these may be available in one policy.


United Healthcare medicare supplement plans provide complete coverage than the Original Medicare. This ensures fewer upfront costs for healthcare. This feature makes Medicare Advantage participants to avoid buying supplemental Medicare coverage, such as Medigap policies; to reimburse the expenses that traditional Medicare does not accept paying.


Navigating the ins and outs when you cannot or can join or even drop the coverage of Medicare Advantage can be confusing than the Medicare simpler options. Undoubtedly, people consolidating their health insurance as their retirement years may find this suitable to have all in one policy. Thus, Medicare Advantage plans stay as an attractive option that can help in protecting Americans against healthcare expensive costs.


Despite the Medicare Advantage plans appealing characteristics, there are few downsides. The Medicare Advantage plans available in your state to you may be restrictive than you are actually used to or you may prefer when it is about seeing doctors.


Medicare Advantage plans come in the formats as: HMOs- Health Maintenance Organizations, PFFS- Private Fee-For-Service plans, PPOs-Preferred Provider Organizations, and SNPs- Special Needs Plans. Thus, carefully review the options of Medicare Advantage plans as it varies with each insurance company and in each state. The prices may vary.


Medicare Advantage plans featuring HMO will mandate to have a primary care doctor referring you to specialists, rather than seeing any specialists on your own. HMOs covers services provided within their networks, which can have restrictions in doctors, you visit.


The PPO format allows you patronizing any doctor or hospital and on choosing as per in-network, you enjoy favorable terms. These plans may be expensive, but you have the liberty to take your decision or see a doctor.


Comparing Medicare Supplement Plans vs. Medicare Advantage Plans

Have you heard about the Medicare supplement plans and Medicare Advantage plans? There have been confusion on how different the two are. This is the reason why we have decided to make the terms clear for you with this article.  You can get the both plans from private insurance firms.  When you have a Medicare supplement plan, it is easy for you to meet any doctor in the United States of America. Some of these plans can cover an emergency medical attention if you are not in the country.

The Medicare Advantage plans include the prescription drug coverage that was not taken care of by the Medicare Supplement insurance.  There is difference between the two Medicare insurance plans. The Medicare Advantage insurance gives a user the benefit of receiving your Part A and B plans through any insurance firm that has a dealing with Medicare.   Some of the benefits of the Medicare Advantage cover most of the items or areas that were not initially taken care of by the original Medicare like routine dental services and prescription drug advantages.

There are things you should know about the Medicare Advantage insurance, it has a low premium that is as low as not paying anything per month.  Though, it does not mean that you will not have to make payment for your monthly Part B premium.  When you have gotten a Medicare Advantage plan, you are also in the original Medicare program.  However it is important that you have registered with the Part A and B before you can make use of the Medicare Advantage program.

The Medicare Supplement Plan can take care of some of the expenses of Part A and Part B out of pocket expenses, like copayments, coinsurance and deductibles. It is important that you get yourself enrolled in the Part A and B before you can be qualified to join the Medicare supplemental program. However, you can still get your benefits through the original Medicare plan unlike the Medicare Advantage that only offer you Part A and Part B benefits through a Medicare approved insurance firm.

There are letters that have been standardized in Medicare Supplement Plans 2018 in different states in the United States of America. Some of these plans include; A, B and up to N. We have up to ten different plans that are available in some states.  You should know that E, H, I, and J have no relevance in the country and are no longer sold. If you are in Massachusetts, Minnesota and Wisconsin, these states have their personal standardized Medicare plans.  Before you go for a Medicare supplement plan, you should do your homework first, ask question and meet your administrator. Sometimes, you have to be sure that the plan you are using is your own and not a wrong plan. The cost of some of the plans varies from one insurance firm to another because of the packages that are available and the state you are living.


Benefits Of Medicare Supplement Plans

If you’re above sixty-five, retired and want to secure your health expenses, you may need to consider a suitable health plan. You either have the option of availing a Medicare Advantage Plan or an Original Medicare plan, depending on your budget and needs. These plans might not cover all your costs, but the added benefit of availing an Original Medicare Plan is that you can add a Medicare Supplement Plan to it! Yes, this means that any cost that is not covered by your Original Medicare Plan is covered by your Medicare Supplement Plan.

Now would be the appropriate time to register yourself; a little change might be expected in the Medicare Supplement Plans for 2019. However, availing it in 2018 will give you a clear idea of any prospective alterations! Bear in mind, Medicare Supplement Plan benefits are not government endorsed and must be purchased through a private company.

Medicare Supplement Plan is also known as a Medigap plan; as the name suggests, it covers any ‘gaps’ in your Original Medicare Plan. However, these are not applicable on stand-alone benefits. Medicare Supplement Plans pay for copayments, coinsurance, and yearly deductibles.

Medicare Supplement Plans are of quite a variety with the types being: A, B, C, D, G, K, L, M, N and F. Generally, all categories have a set of similar benefits that include:

  1. Medicare part A coinsurance and hospital costs
  2. Medicare Part B coinsurance or copayment
  3. Blood (first 3 pints)
  4. Part A hospice care coinsurance or copayment
  5. Skilled nursing facility care coinsurance
  6. Medicare Part A deductible
  7. Medicare Part B deductible
  8. Medicare Part B excess charges
  9. Foreign travel emergency (up to plan limits)
  10. Network-restriction free
  11. No need for referrals to visit a specialist
  12. Available throughout the United States
  13. Guaranteed coverage for life (though, the rates of Medicare Supplement Plans for 2019 are subject to change)

Quite fortunately, two Medigap plans, known as Plan L and Plan K offer unlimited usage. This means that once you’ve exhausted your Medicare-covered services, Medigap plan will take its place in coverage!

All Medical Supplement Plan policies are standardized that follow state laws to provide you complete protection. Thus, we advise you to get yourself a unique on-the-budget plan that caters to all your needs before the Medigap plans for 2019 offer any changes!


Introduction to Medicare Advantage Plans

Shopping for an appropriate and cost-effective insurance plan can be overwhelming. There are numerous decisions yet not all options are appropriate for everybody. Medicare Advantage Plans have been popularly utilized since the projects were first presented in 1997. Otherwise called “Mama Plans” or “Part C,” these projects are a piece of Medicare. If you are 65 or older, it will be of awesome advantage to carefully evaluate whether this program is for you or not, and to balance its advantages with other medical coverage programs. Medicare Advantage Plans are a great way to live a worriless life, because they will cover almost all of your out-of-the-pocket costs.


With regards to Medicare, you should pick between unique Medicare projects or Medicare Advantage in 2019. A simple strategy for picking between the two kinds of projects is to decide whether you might want to offset the costs of drug prescriptions. In most cases, the individuals who require drug prescription select original Medicare since it covers the cost of drug prescriptions under Part D of the program. Then again, the advantage plan does not take care of the expense of drug prescriptions.


Remember that, for an extra cost, you can include drug prescriptions in your advantage plans. In any case, you won’t have the capacity to add Medigap Insurance to the plan. Medigap is a sort of insurance arrangement that spreads parts of your health care coverage that are not secured under a unique Medicare plan.


All in all, what benefits do advantage plans give? Not at all like Medigap Insurance, an advantage plan isn’t supplemental insurance. Rather, this sort of insurance is offered through private insurance organizations who works with Medicare in order to cover every cost base. As it were, your Medicare plan will be handled by the private insurance organization and you will in any case be enrolled in your Medicare program. The cost advantage is that you won’t have to pay the extra costs of a supplemental plan. Numerous advantage plans are free for individuals 65 and older who are already enrolled in Medicare Part B, or if nothing else offer a more affordable approach to pay for every single therapeutic cost.


Since numerous individuals can’t bear the high cost of supplemental insurance, advantage plans offer an affordable option. These plans require a lower month to month premium as long as the recipient of the plan consents to utilize a set system of social insurance suppliers and offer in some copays for services. Picking between these distinctive sorts of plans will rely upon the amount you can bear the cost of on a month to month premise, your own medicinal needs, and a comprehension of the stipulations put forward by singular insurance plans accessible in your state.

Aetna Medicare Supplement Plans

The Aetna Medicare supplement plans are a type of healthcare plans that are offered under the Medigap policy plans. If we take a look at the top Medigap plans for 2019 that are already trending high, it includes the Aetna Medicare supplement plans. There are ten varying healthcare policies that are designed under the Aetna Medicare sub-categorization.

Availability of Aetna Medicare Supplement Plans

The Aetna Medicare supplement plan is available all throughout three different states of the United States including Minnesota, Wisconsin and Massachusetts. If you are looking to purchase an Aetna Medigap plans for 2019 you must know that the availability of the policy depends on permission by the state. As listed above, the Aetna Medigap plans for 2019 are divided into 10+ different types and only allowed in the above mentioned three states.

Medigap Plans Offered by Aetna Medicare

If you want to explore your options of plans that are being offered by Aetna Medicare in the present day and time, take a look below. Below we have designed a brief overview of the available Medigap plans that are currently being offered by Aetna Medicare.

Aetna Medicare Plan A

The Aetna Medigap plan A is the least pricey insurance plan out of all. Under this plan, you will get complete coverage cost for the hospital costs. This includes complete coverage of hospitalization expenses up to 365 days. This plan also offered coverage for any expense that is spared by the Medigap plan B or F. Such payments are known as copayments. The payment for the first three bottles of blood is also covered by the Aetna Medicare plan A. It is most readily available to all members and is most commonly sought.

Aetna Medicare Plan B

The policy details for the Aetna Medicare plan B are much similar to the Medicare plan A. The only distinction between the Plan A and B is that plan B offers cost coverage for all expenses that are negatively deducted in the plan A. This is a benefit in comparison to the previous plan but is should be noted that the Plan B is much more expensive than Plan A.

Aetna Medicare Plan F

The Aetna Medicare plan F is different than all other available Aetna plans i.e. A and B. It does not offer expenses coverage for the usual expenses but covers costs that are not orthodoxly included in the expenses list.

10 Best Supplemental Insurance Companies

If you live in the United States, you will be surprised to find that there is an insurance plan available for you to avail all throughout the country across various states. So if you are planning to purchase the best Medicare supplement plans for 2019 – you are surely going to find a reliable option in your area or nearby location. Varying supplemental insurance companies are operating across various states to provide customizable insurance policy plans to people. In this article, we take a look at the top best 10 supplemental insurance companies that will offer best Medicare supplement plans for 2019 to you in the coming future.

  1. AARP Medicare Supplement Plan

With more than almost two decades of experience in the field, the AARP Medicare supplement insurance company is ranked as the top best company in the recent times. It is closely associated to the American medical organization and is a very favored choice when it comes to Medicare supplemental plans.

  1. Mutual of Omaha Medicare Plan

The mutual of Omaha Medicare Company has been around for a very long time now, almost over a century and is known for its high end insurance policy plans.

  1. United Healthcare Medical Supplemental Plan

The United Healthcare medical supplemental plan is registered with UHC and is an A-listed supplemental plan for senior citizens.

  1. Aetna Medicare

Around for more than 10+ years, Aetna Medicare is one of the most reliable insurance companies that has been around for a while. It is only allowed to offer insurance plans in three states of America.

  1. Anthem Medicare Plan

Anthem is a relatively new healthcare company that has been around ever since 2004 and has marked its position with stable policies.

  1. Cigna Medicare Plan

Cigna is a top rated insurance company. It is best known for offering superlative insurance services at a very reasonable cost.

  1. Blue Cross Blue Shield

The blue cross blue shield insurance company is known for offering the best healthcare insurance plans for the past 51+ years.

  1. Humana Medicare Supplement Plan

Humana insurance company has been listing its insurance plans on the market for the past 15 years now and is listed in A category.

  1. Banker’s Fidelity Medicare Plan

This Medicare insurance plan is offered to all senior members of the society who are above 50+ years of age and are retired from a finance job.

  1. United American Medicare Supplemental Company

Listed as an A+ list company the United American Medicare supplemental company has been around since 1947.

For more information about Medicare Supplement plans click.

How to Compare Various Medicare Supplement Plans 2019?

Presently, you can find as many as 7 Medicare Supplement plans that you can pick from – and these range from F to N, other than plans A to D. The advantages of each plan vary from another with little exception. In 1990, following the standardization of plans by Medicare, customers are able to compare the various advantages and costs of different plans in a better way. There are various Medicare Supplement Plans 2019 to pick from. It is essential that you conduct enough research in order to get one that matches your own situation and needs.

Check the legitimacy

You have to check whether the company that you are buying the supplemental plan from is a legitimate one. A number of agencies are only interested in collecting your personal details and selling them to many insurance agents. There are two methods to determine whether you are dealing with a legitimate Medicare Supplement Plans 2019 provider. You can find a toll-free number where you can call up customer support staffs. Also, you will find a statement in the company’s website that the agency will never sell or disclose your personal details to a third party.

Talk to an expert

In many cases, it would also be wise to get in touch with an expert specializing in Medicare supplement plans. This can reduce a lot of stress for you, and sort out many complicated issues for you. With his or her experience and training, the specialist can assist you with all your requirements.

Compare the costs

Compare the prices of various Medicare Supplement Plans 2019 that are available, while searching for various companies offering them. Better insurance agencies and brokers can offer you comparisons of plans from various insurance providers working in your region. The costs, in most cases, will vary even when the plans being offered are similar in form. Keep in mind that it is wise to invest some time into the research to arrive at a proper decision while buying the best plan for your needs and pocket.

Compare the coverage

You will also need to compare the amount of coverage being extended by each plan, and consider which type of coverage you require. If you only visit a doctor infrequently and happen to be in generally good health, you can go for Medicare Supplement Plans 2019 that offer basic coverage for medical expenses. On the other hand, if you are in poor health or progressing towards ‘senior citizen’ age, it is wise to opt for a plan offering extensive coverage.

Know the different Network types of Medicare Advantage Plans

‘Networks’ in Medicare Advantage Plans can be found to be of three different types. They are:

  • HMO Plans (Health Maintenance Organization)
  • PPO Plans (Preferred Provider Organization)
  • PFFS Plans (Private Fee for Services)

The smallest provider network is HMO Advantage, since they have limited number of facilities, hospitals and doctors. PPO network has wide range of facilities, hospitals and physicians, thus allowing individuals requiring care with plenty of options to choose from, something not offered with small HMO network. PFFS represents the biggest group of facilities, hospitals and physicians.

Classification in details

  • HMO:
    • There will be coinsurance and copayments
    • Care will be received from HMO network doctors
    • Hospitalization received within HMO network
    • Facilities within HMO network to be used
    • Prior authorization must for visiting specialist
    • Specialist is to be seen
    • If out of HMO network services are availed, then full out of network fees are to be paid.
    • Few HMO networks have own prescription drug program like Medicare Part D.

This network although restrictive is found to be quite effective if facilities, hospitals and doctors can be switched.

  • PPO: In this form of Medicare Advantage Plans,
    • There is involved coinsurance and co-payments
    • Any doctor participating within the network can be visited
    • In network hospitals to be availed for hospitalization. Facilities that accept Medicare are to be used.
    • Prior authorization a must for visiting the specialist
    • Subjected to some out of network fees percentage around 30%, if out of network services are sought.
    • Few PPO networks come with own prescription drug program like Part D Medicare

Selecting PPO network involves less hassle since services can be availed across the State, however from a single hospital provide network.

  • PFFS:
    • Coinsurance and Copayments apply
    • Visit any doctor who is Medicare approved
    • Visit any hospital, Medicare approved
    • Visit any facility, Medicare approved
    • Seek out of network services
    • Prior authorization or referrals not required to visit specialist
    • Individual Prescription Drug plan is present. However, some plans do include Prescription Drugs.

Being among the top Medicare Advantage Plans, it does offer the person with great amount freedom. No network restrictions exist for doctors, hospitals and other facilities.

 By understanding the different plans found under, it becomes easier for the individual to select a plan that will be deemed to be just appropriate to meet the specific needs and requirements.