Some Differences Between Standard Medicare and Medicare Advantage in Macon GA

by | Feb 24, 2017 | Insurance

When a person nears age 65, it’s time to start thinking about signing up for Medicare or an alternative policy, such as Medicare Advantage in Macon GA. Advantage plans, also known as Part C, are regulated by the federal government but are managed by private insurance companies. The plans include the two main aspects of standard Medicare parts A and B, which cover a certain amount of hospital expenses as well as other medical bills. These policies also typically include coverage for prescription drugs, which is available in standard Medicare under an optional Part D.

These policies are named Advantage plans because they do offer certain advantages over original Medicare. The policyholder can choose to include vision and dental insurance, for instance. That is not available with standard Medicare and would need to be added to a supplemental policy. It’s also possible to include nursing home care in some Advantage plans.

The customer also might want to choose a policy with a lower coinsurance amount than would be the case with original Medicare. This is likely to require a higher monthly premium for the Advantage plan chosen. Many people don’t pay a premium for standard Medicare, but the Advantage plan can still be more affordable depending on the person’s health circumstances. In addition, buying a Medigap plan through a firm such as Stone Insurance Agency Inc. can cover the coinsurance amount. Please browse the website for more details on this agency.

There are many types of plans for Medicare Advantage in Macon GA, so having a knowledgeable insurance agent provide information and answer questions about policy differences is advisable. Together, an agent and a prospective Medicare enrollee can go over the math and determine which policy would be best. The prospect may seem less daunting if the individual considers that Advantage plans are similar to buying health insurance directly instead of having it provided by an employer. Most of the plans are either health maintenance organization (HMO) or preferred provider organization (PPO) policies. Enrollment in Advantage plans can only be done between October 15 and December 7 of each year, with coverage beginning on the first day of the following year.

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