MEDICARE ADVANTAGE - PART C
Many Medicare Advantage (MA) plans also include Part D prescription drug coverage and may offer additional benefits not provided by Original Medicare, such as routine dental, vision, hearing, fitness programs and other supplemental benefits. Benefits, provider networks, costs and availability vary by plan and location.
Aura helps you look beyond the premium to understand how a plan actually works for you.
PLAN OPTIONS
Medicare Advantage plans can vary in premiums, networks, cost-sharing, prescription coverage and additional benefits.
DOCTORS & PRESCRIPTIONS
Your physicians, hospitals, medications and preferred pharmacies are important considerations when comparing plans.
PERSONALIZED GUIDANCE
Aura Insurance provides personalized guidance based on your individual healthcare needs, preferences and budget, with the added perspective of a physican-founded agency.
AURA INSURANCE SOLUTIONS - YOUR TRUSTED ADVISOR
1. HOW MEDICARE ADVANTAGE WORKS
You must generally be enrolled in both Medicare Part A and Part B to join a Medicare Advantage plan and continue paying your Medicare Part B premium.
Instead of receiving your Part A and Part B coverage directly through Original Medicare, your Medicare-covered services are administered through the Medicare Advantage plan you select.
Plans may have provider networks, copayments, coinsurance and other rules that vary from one plan to another.
2. HMO, PPO & OTHER PLAN TYPES
HMO Plans generally use a defined network of doctors and hospitals and may require you to receive most non-emergency care within that network.
PPO Plans generally provide greater flexibility to receive care outside the plan's network, although your costs may be higher when using out-of-network providers.
Other types of Medicare Advantage plans are also available in certain areas and circumstances.
Your doctors and preferred hospitals should be reviewed before selecting a plan.
3. PRESCRIPTION DRUG COVERAGE
Many Medicare Advantage plans include Part D prescription drug coverage.
Each plan has its own formulary, pharmacy network and cost-sharing structure. A medication covered favorably by one plan may cost considerably more under another.
Aura reviews your medications and preferred pharmacies when comparing plans — not simply the monthly premium.
4. ADDITIONAL BENEFITS
Many Medicare Advantage plans may provide benefits beyond Original Medicare, which can include:
- Routine dental, vision and hearing benefits
- Fitness or wellness programs
- Over-the-counter allowances
- Transportation or other supplemental benefits
- Additional benefits available to certain eligible members
Benefits and eligibility vary considerably by plan.
Aura Insurance Solutions will research all plans available in your area and because we are truly independent, we will be able to show you plans available by many different insurance companies.
5. WHAT DOES MEDICARE ADVANTAGE COST?
Some Medicare Advantage plans have a $0 monthly plan premium, although $0 premium does not mean $0 healthcare cost.
Members generally continue paying their Medicare Part B premium and may have deductibles, copayments or coinsurance when receiving services.
Medicare Advantage plans have an annual maximum out-of-pocket limit for covered Part A and Part B services. Premiums, cost-sharing and maximum out-of-pocket amounts vary by plan.
6. YOUR DOCTORS & HOSPITALS MATTER
A Medicare Advantage plan may look attractive based on premium and additional benefits, but provider access can be equally important.
Before selecting a plan, Aura can help you review whether your physicians and preferred hospitals participate in the plan's network and understand how the plan handles referrals and out-of-network care.
The lowest premium isn't necessarily the best plan for you.
7. MEDICARE ADVANTAGE PLANS CAN CHANGE EACH YEAR
Medicare Advantage plans can change from year to year. Premiums, copayments, provider networks, prescription drug coverage and supplemental benefits may all change.
Your own healthcare needs can change too.
That's why reviewing your Medicare coverage each year can be just as important as choosing it in the first place.
Already enrolled in Medicare Advantage? REQUEST YOUR ANNUAL MEDICARE REVIEW!