What is a Medicare Advantage Plan?

Medicare Advantage, also known as Medicare Part C, is a plan provided by private insurance companies with the help from subsidies provided by the government so that the insurance company can design network-based plans at various premiums.

These plans are normally designed with copays and coinsurance throughout the plans as a form of cost sharing that the client would assume when joining one of these plans. Most plans may offer additional benefits at no additional cost to you.

What are the "Upsides" of Medicare Advantage Plans?

  • It’s convenient to have a single plan for everything

  • The plan covers everything traditional Medicare covers (hospital insurance and medical insurance) as well as emergency and urgent care

  • Most plans also include prescription drug coverage

  • Your eligibility isn’t affected by health or financial status

  • Many plans may cover additional benefits.

  • Premiums vary

What are the "Downsides" of Medicare Advantage Plans?

  • You’re restricted to certain doctors in your network (unless it’s an emergency)

  • Plan premiums can change from year to year

  • Difficult to switch to Medigap later on

  • Plan benefits can change from year to year

  • You’re subject to high deductibles and co-pays that tend to range from $3,400-$6,700

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