Whats Included In A Medicare Advantage Plan?
Medicare Advantage Plans include Part A, Part B, and usually Part D (Medicare prescription drug coverage).In addition to covering everything that’s included in Medicare Part A and B, Medicare Advantage Plans generally offer additional coverage, including dental, hearing, vision, Medicare Prescription Drug coverage, and other health and wellness services through an HMO or PPO network of heath care providers.
You can go to any hospital, doctor, or health care provider in your network’s plan. Depending on which plan you choose, you may also be able to go to those who are out-of-network. Is there a monthly premium? There may (or may not) be a monthly premium for your Medicare Advantage plan in addition to your Part B premium. Prices will vary depending on the type of plan you choose. Watch This Easy To Understand Video About Medicare Advantage
There are many different Medicare Advantage plans available in the Las Vegas Marketplace and in Nevada. It can be confusing to know the ins and outs of these different plans. Is an HMO or a PPO plan better for me? Well that depends! We will meet with you one-on-one and ask the RIGHT Questions to match you up with the RIGHT PLAN. Our consultative approach eliminates the needs to SELL SOMETHING and helps you get THE RIGHT FIT! At Lets Talk Medicare, we are contracted with ALL the Medicare Advantage Plans so we can help you sort out the Differences and then enroll YOU! Call Us at (702) 403-6348 Medicare Advantage Explained Types of Medicare Advantage PlansHMO (Health Maintenance Organization) Plan:
All of your health and wellness services (with the exception of emergency care, out-of-area urgent care, or out-of-area dialysis), will generally go through a primary care physician along with any hospitals and/or specialists that is in your plan’s network. (If you see someone outside of this network, you may be responsible for the full cost of service/treatment.) PPO (Preferred Provider Organization) Plan: Although you will generally pay less if you go to a doctor, hospital, or other health care provider in your plan’s network, you have the option of going to an out-of-network provider. You do not need to choose a primary care physician, and, in most cases, you do not need a referral to see a specialist. PFFS (Private Fee-For-Service) Plans: You can generally go to any Medicare-approved doctor, hospital, or health care provider who accepts the plan’s payment terms and agrees to treat you. If your PFFS plan has a network, you can see any in-network provider or out-of-network provider who has agreed to treat plan members. Some PFFS Plans do NOT include prescription drug coverage. If not, you may need to purchase a Medicare Prescription Drug plan. SNP (Special Needs) Plan: This is for people who require specialized health care, such as those who live in a nursing home, have chronic health conditions, or who are on both Medicare and Medicaid. You will generally need to select a primary care physician who can refer you to a specialist in the network, if/when one is needed. Medicare Prescription Drug coverage is included in this plan. To find out more about Special Needs Plans visit Medicare.gov DSNP Plans Health plans for people who have both Medicare and Medicaid Dual plans offer extra benefits and features at no extra cost Dual plans go beyond either Medicaid or Original Medicare alone. You’ll still get to keep your Medicaid benefits and better yet, with a dual plan, you could get many extra benefits and features than Original Medicare at no extra cost. Extra Benefits may include
Important: Medicare Advantage Plans usually contain Prescription Drug Coverage If you enroll into a Standalone Medicare Prescription Drug plan while you are enrolled in a Medicare Advantage Plan it will dis-enroll you from Your Medicare Advantage Plan and put in back into Original Medicare At MedicareinLasVegas, we are contracted with ALL the Medicare Advantage Plans Southern Nevada and many other states so we can help you sort out the Differences and then enroll YOU!. |
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