Keeping the importance of health of elderly people under consideration, US health department has provided an option to choose a health insurance program of managed health care or health care organization. It is basically a substitute of Medicare Part A, and B and known as the Medicare advantage. It offers an extra coverage like health programs, dental, and vision. It also contains the Medicare prescription drug coverage Part D. You might be thinking that what actually is the Medicare plan and what is the difference between Medicare and Medicare advantage plans. Here is the comparison between both:
Difference between Original Medicare and Medicare Advantage Plans:
Original Medicare plans are directly administered by the US federal government. This plan primarily include Part A and Part B. Part A is for the hospitalization while Part B is for medical coverage. The enrolled patients pay deductible and coinsurance when they get the health care which usually reaches up to 20 percent of the Medicare approved cost. The attractive feature of Original Medicare plan is paying for the part B premium only because there is no Part A premium for those who have at least 10 years of work experience in the US. Once you have the Medicare plan, you can go and see any doctor or hospital in Arizona that accepts Medicare. No referral forms are needed to see the specialist because you are pre authorized after enrolling yourself in Medicare original plan. Medicare original plans provide you the basis of buying the Medigap plans that serve as the supplemental coverage. Original Medicare also gives an option to avail Medicare drug coverage but you must have a separate Prescription drug plan from any of the private insurance company.
On the other hand, the Medicare Advantage plans are sold by the private insurance companies that are authorized to provide Medicare benefits. These are state approved private insurance providers. AZMEDICARE is among these insurance companies in Arizona. Besides covering Part A and Part B of the original Medicare, the advantage plans also covers extra benefits which include vision and dental care. Medicare advantage plans have three major types of providers: (HMOs) Health maintenance organizations, (PPOs) preferred provider organizations and (PFFS). If you have a valid Medicare advantage plan while the original Medicare plan has expired then its expiration doesn’t harm you. You can pay a deductible or copay a fixed amount per office visit.
Unlike original Medicare plan, the Advantage plans has a limited network of doctors and hospitals. Besides this, you might need to choose a primary physician and get referrals to see the specialist. Medicare advantage plan restricts you to avail the Medigap supplemental insurance. If you want Medicare drug coverage, opt for a plan that includes both health and drug coverage and is usually known as a Medicare Advantage Prescription Drug Plan. You usually can’t have a separate Part D plan with the Medicare advantage plan, unless you are in a Medicare Medical Savings Account (MSA) or a PFFS plan.
Medicare advantage and AZMEDICARE:
Medicare advantage plans are also known as the Medicare Part C of MA plans. These plans are administered by the state authorized health insurance organizations and AZMEDICARE is one of these organizations. AZMEDICARE offers benefits including optional Part B and Part D plans. Medicare Advantage providers follow the rules provided by the original Medicare. It may also be noted that this policy may cost our-of-pocket expenses in the form of higher premiums and deductibles. Standalone prescription drug plans are also covered by the AZMEDICARE. These plans are offered to the eligible participants. Each Medicare Part D plan provider determines the prescription drugs that are covered by the plan, the cost of the Part D premium, the amount of a participant’s co-pay and/or deductible, coverage limitations and the out-of-pocket cost of a drug to the participant. Medicare part D coverage is only for the participants who either have Medicare Part A and Part B, or have a Medicare Part C plan that includes both Medicare Part A and Part B coverage.
Eligible participants may not elect to carry only Medicare Part D coverage. If a participant has Medicare Part A and/or Medicare Part B, she/he may choose a stand-alone prescription drug plan provider. Medicare Part C plan participants must work with their plan provider to acquire prescription drug coverage; they do not purchase stand-alone prescription drug plans.
The Plan C is offered by AZMEDICARE that contracts with Medicare to provide you with all the hospital and medical insurance benefits. Moreover, Medicare advantage plan includes health maintenance organizations, preferred health service provider organizations, private fee-for-service plans, special needs plans and Medicare medical savings account plans. If you are enrolled in under such program then you may also be offered prescription drug coverage.
Besides all this, full coverage plan is also offered by AZMEDICARE. The full coverage plan is the most wide-ranging. It can pay for all the expenses that are approved but not yet been paid by Medicare. This plan includes all your deductibles, copays and coinsurances that originally Medicare is not supposed to cover. Full coverage plan is typically the most expensive of all the plans, and is well suited for those who think that they will have medical expenses and/or for those who want the peace of mind knowing that all approved expenses will be covered.
AZMEDICARE does not recommend any plan. The company gives you the option to choose the plan which best suits you. You can select the Medicare original plan as well as the Medicare Advantage plan. Once you have enrolled yourself in Medicare plan, you will be able to enhance the scope of the insurance with twelve different standardized sub plans. You can visit http://azmedicare.info/ to learn more about these plans. Compare all the plans and choose the most suitable for you.