Medicare Advantage plan is one of the health care plans that offer a lot of benefits for those enrolled. It began in 1995, after introducing Medicare in 1966, by the United States federal government. Interestingly, Medicare’s first recipients were President Harry S. Truman and his First lady. It has been found to offer additional benefits than other plans. It is run by private institutions such as; private insurance companies, union, religious organizations and some other kinds of private establishments; therefore it is similar to a private insurance.
What is included in it?
Medicare advantage plan is also referred to as Medicare Part C; it includes a lot of options. They are:
- Health Maintenance Organization (HMO); which offers health care through a specific network of health care providers, except in emergency situations, urgent care visits and for renal dialysis, where you can go outside this network and still be covered.
- Point of Service (POS); is an option that is similar to HMO above, but offers care from providers outside the network of health care providers. You only need to pay for coinsurance that it allows.
- Preferred Providers Service (PPS); is an option that gives freedom to see providers that are out-of-network, for certain services, but it comes at an additional cost.
- Special Needs Plan (SNP); for people with special needs. It also has four more divisions under it. They are; Dual-Eligible Special Needs Plans (DSNPs), Chronic Special Needs Plans (CSNPs), Institutional Special Needs Plans (iSNPs) and Institutional-Equivalent Special Needs Plans (ieSNPs).
This plan is only for people who fall under the following categories;
- Those who attain 65 years of age.
- Those who have the End-Stage renal disease and kidney failure.
- Young ones who are have disability.
Tips for choosing a Medicare Advantage plan
Are you finding it uneasy in choosing your plan? There are many health plans available and you have to make a choice that suits you among the available ones. Perhaps you’ll find these tips extremely helpful.
- Investigate and look out for the health care plan that runs within your area of residence.
- Find out the one that covers your health issues.
- Premiums charged by different health care plans monthly vary; find out one that fits your budget.
For you to be eligible, getting enrolled in Medicare Part A or Part B and living in the service area where it is offered are both important.