Medicare Supplement vs. Medicare Advantage Plan, which
offers better coverage?
A Medicare Supplement Plan works with Medicare to pay the
out of pocket costs that Medicare does not pay for. When you have a Medicare
Supplement Plan, you will continue to use your Medicare red, white, and blue
card, as well as your Medicare Supplement Card.
A Medicare Advantage Plan works in replace of Medicare.
Medicare pays a private insurance company to insure you, with the requirement
that the benefits are at least as good as what Medicare offers. If you choose a Medicare Advantage Plan, you
can put away your Medicare red, white, and blue card because you will only be
required to present your Medicare Advantage Plan card to use the insurance.
So which is better?
Good news, there is no wrong answer, they both are good, and
both probably offer better coverage than you are used too. Below are the good
and the bad for each type of insurance, I hope this helps:
Medicare Supplement
The
Good The
Bad
Flexibility- choice of Doctor and/or Hospital
|
An additional Monthly Premium ($75-$180)
|
Predictability- very little out of pocket expense
|
No dental or vision coverage
|
Pays all hospital bills
|
Monthly premium increases every year
|
You and your Doctor decide your care
|
No prescription drug coverage, you will need Part D
|
Easy to shop and compare the different prices
|
|
No referrals are required, no HMO or PPO
|
|
Travels with you, same coverage all over the US
|
|
Electronic Billing
|
In summary, a Medicare Supplement Plan is going to cost an additional
monthly premium, but it provides coverage that allows you to choose your own Healthcare
Providers, and it is easy to budget because as long as you pay the monthly
premium, you will rarely get a bill.
Medicare Advantage Plan
The
Good The
Bad
Very low monthly premium, sometimes $0.00
|
Out of pocket costs up to $3,500 to $7,500
|
Insurance Company helps manage your care
|
Doctor / Hospital Network: HMO or PPO.
|
Some dental and/or vision
|
Requires referrals
|
Includes prescription drug coverage
|
Annual Contracts, can only change 10/15-12/07
|
Coverage is limited to your County
|
|
Insurance Company decides your care
|
In summary, a Medicare Advantage Plan operates like group
health insurance that most of us have had our whole life, and has a low monthly
premium. However, if you are retiring and your income is being reduced, it may
be more difficult to have health insurance that is impossible to budget for because
you do not know how much you will use the Plan each year.
Candid MedicareBob: I assist roughly 100 people per month
with choosing which Medicare Coverage is the best for them, and 70% of the
time, the choice is a Medicare Supplement Plan. This does not mean that I do
not like Medicare Advantage Plans, to me it really comes down to the pricing
that is available for the Medicare Supplement Plans in your area. If a Medicare
Supplement Plan F, G, or Plan N is $100 or less per month, than a Medicare
Supplement makes a lot of sense for most people. This being said, I do have
clients that cannot afford a Medicare Supplement, this is when I assist them in
choosing the right Medicare Advantage Plan for them. As I mentioned previously,
both Medicare Supplement Insurance and Medicare Advantage Plans typically offer
better insurance than you have had while you were working.
YOU SHOULD KNOW: The
only time that you are guaranteed approval for any Medicare Supplement Plan is
when you first turn 65 years old, or within 6 months of when you start Medicare
Part B.
How do I, a licensed
insurance agent/broker that sells Medicare Supplements and/or Medicare
Advantage Plans make money?
This is a fair question, and I am happy to share this
information with you. My services; Medicare education, telephonic enrollment,
and customer service, has no additional cost to you. I get paid by the
insurance company, not by you.
Medicare insurance question? Want quotes from 20+ Medicare
Supplement Companies? Want a chart of the available Medicare Advantage Plans in
you County?
Call me, Robert W. Bache aka
MedicareBob: 1-800-525-0299.
Robert W. Bache aka
“MedicareBob”
President / Producer
Senior Healthcare Direct
Direct Toll Free:
1-800-525-0299
Company Toll Free:
1-855-368-4717
Learn more about Robert aka “MedicareBob”
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