MedicareBob

FAQ Friday: What is a Medicare Advantage Plan?


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A Medicare Advantage Plan is not a Supplement Plan, it is a private alternative to Medicare. A Medicare Advantage Plan will not pay the bills that Medicare would normally pay, instead a Medicare Advantage Plan will charge you a different deductible, different copays and different co-insurance compared to Medicare.
Medicare Advantage Plan Summary:
• Low monthly premium. (Sometimes advertised as $0.00 per month)
• You will usually have to pay a fee every time you use the plan. ($15.00 copay for PCP visit, $300.00 per day each day you are in the hospital, etc.)
• You have to go to certain Doctors, Hospitals and Providers. (HMO or PPO Network)
• You will have to get prior authorizations for some procedures.
• You will have to get referrals to go see a specialist.
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MedicareBobBy Robert W. Bache