Medicare Advantage Plans Info

Medicare Advantage Plans

12 Things You Need to Know if You Have a Medicare Advantage plan.

  1. You’re still in the Medicare Program.
  2. You still have Medicare rights and protections.
  3. You still get complete Part A and Part B coverage through the plan.
  4. You can only join a plan at certain times during the year. In most cases, you’re enrolled in a plan for a year.
  5. You can join a Medicare Advantage Plan even if you have a pre-existing condition, except for End-Stage Renal Disease (ESRD).
  6. You can check with the plan before you get a service to find out if it’s covered and what your costs may be.
  7. You have to follow plan rules. For instance you have to get a referral to see a specialist to avoid higher costs if your plan requires it. The specialist you’re referred to must also be in the plan’s network . Check with your plan.
  8. There are costs associated with going to a doctor, facility or supplier that is outside the plan In most cases, this applies to Medicare Advantage HMOs and PPOs.
  9. Some clinical research study costs may be covered. Check with your plan.
  10. Costs for certain services like chemotherapy, dialysis, and skilled nursing facility care are the same as Original Medicare.
  11. Medicare Advantage Plans have an annual cap on how much you pay for Part A and Part B services during the year. This annual maximum out-of-pocket amount can be different between Medicare Advantage Plans so it pays to compare plans.
  12. If the plan you selected decides to stop participating in Medicare you’ll have to join another Medicare health plan or return to Original Medicare.

Contact e-TeleQuote today to find out more and get a quote on a Medicare Advantage Plan. We can help make your search for the best Medicare Advantage Plans easy and stress-free!