The Truth Behind Medicare Advantage Plans

Medicare Advantage Plans have gotten negative criticism in the course of recent years. One prominent website that sells Medigap plans for all intents and purposes rails against Advantage plans (like HMO’s and PPO’s). The proprietor of the site goes so far as to state that Medicare recipients are constantly happier with Original Medicare (Part A and Part B) than with a Medicare Advantage Plan. Why are a few people so vocal in their resistance to these plans? Here are a few reasons why I think this is the situation.

  1. Many corrupt agents have sold Medicare Advantage Plans without truly considering what was to the greatest advantage of the Medicare recipient. Stories have flourished about “grandmother” being moved over into some new plan that did not include her doctor or medication. I have by and by been in the kitchen with Medicare Beneficiaries who were crying, since some trick operator preferred influencing a commission to helping that individual to get what the best plan for their situation.
  1. Low and Even Zero Plan Premiums Can be Misleading

Many Medicare Advantage Plans have low or even zero plan premiums. Many folks see this and imagine that they are getting something to no end. In all actuality in any case, not that basic. Co-pays, Co-protection and higher drug costs with many of these plans can really cost more than premiums for a Medigap policy. Also, as we have been taking a gander at a portion of the plans for 2010, there are a few plans that have no out of pocket most extreme (no stop misfortune, if you will). If you wind up getting extremely tired with some of these plans, you may be capable to pay a vast whole of cash for your offer of your medicinal costs.

  1. Limitations to Networks and Plan Rules

Another grumble regularly leveled against Medicare Advantage plan is that Medicare Beneficiaries are limited to seeing just suppliers that are affirmed by the plan. In a HMO (Health Maintenance Organization) for instance, you should regularly pick a Primary Care Physician (PCP) and if you need to see an authority, you should get a referral from your PCP before you do as such.¬†With those “strikes” against Medicare Advantage Plans, maybe you are anticipating that me should state, alongside that other creator I specified, that Medicare Advantage Plans are never the correct decision for individuals with Medicare.

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That however isn’t the situation. There are many situations we have encountered where it shows up in any event (in our judgment) that a Medicare Advantage Plans is to the greatest advantage of a customer and improves protection than Original Medicare (Part An and Part B) alone. There are many, many, many individuals who completely, emphatically, by no means, can’t afford to pay a month to month premium (for a Medicare Supplement Policy and additionally a Prescription Drug Plan).

I am of the feeling that if you CAN afford to pay a premium for Medigap and a Part D Plan (and it pays to shop around) that you should pay the premiums and be finished with it. If you can’t afford it nonetheless, there may without a doubt be plans that offer protection well beyond Original Medicare (plans for instance that give an extensive Maximum Out of Pocket, or MOOP). Are Medicare Advantage Plans appropriate for everyone? Obviously not. Similarly, as there isn’t one retirement plan, or life protection plan or long haul mind plan that isn’t right for each individual, there is basically no real way to state that Medicare Advantage is “ideal” or that a Medigap policy is “ideal”.