Covers eligible services from providers and facilities inside the network only, except in an emergency.Two Types of Medicare Advantage Plans: HMO or PPO HMO – Health Maintenance Organization: In general, requires a referral to see a Specialist.Normally, working with a Primary Care Physician is necessary.As a rule, working within a network is mandatory.Usually includes extra benefits not provided by Original Medicare.Provides predictable out-of-pocket costs.By selecting a Medicare Advantage plan, the insurance company becomes your primary insurance, and by doing so, it has very distinct advantages and disadvantages, such as: Advantages: This is a great option for reducing the exposure to Medicare’s 20% co-insurance. With that said, Medicare Advantage plan premiums (paid to the insurance company) vary, but there are many $0 premium plans to choose from. If a person enrolls in a Medicare Advantage plan, they must continue to pay their Original Medicare Part B premium to the Social Security Office. Worldwide Emergency Assistance Outside the U.S.They generally have additional benefits and services Medicare does not cover, such as: Medicare Advantage plans, at a minimum, include all benefits, services, and coverages outlined in Original Medicare. Enrolling in a Medicare Advantage plan requires a person to first enroll in Original Medicare Part A & Part B and to reside in the plan’s service area. They combine Original Medicare, Part A, Part B, and generally Part D into one plan. Medicare Advantage plans are Medicare approved insurance plans offered through private health insurance companies. One of the options a Medicare beneficiary has as a resource to tackle Original Medicare’s Co-Insurance, Co-Pays, and Deductibles is using a Medicare Advantage plan, also known as Part C.
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