How a Medicare Advantage Plan can result in poor care and higher costs.
Anyone who applies for a Medicare Advantage plan must voluntarily give up Medicare Part A and Medicare Part B Insurance Coverage.
Giving up Medicare Part A and Medicare Part B is necessary, because it allows the person to sign up with the insurance company that is selling the Medicare Advantage plan. This is a potentially dangerous sacrifice, considering the insurance company is not obligated to renew their contract with Medicare each year. If the insurance company did drop out of their Medicare Advantage contract, you would be dis-enrolled from that Medicare Advantage Plan and would have to start over looking for another one that met your needs adequately.
Most, if not all Medicare Advantage plans have a network of doctors, clinics and hospitals. It may be either a PPO or HMO network. In most cases, you would need a referral to see a specialist. Hospitals, doctors and clinics can also drop out of any particular Medicare Advantage plan at their leisure, leaving you, the Medicare Advantage recipient, the possibility of having to pay out-of-network costs or possibly the full cost of care.
Yesterday, I just met a 72 year old male client here in Palm Beach County, Florida. He had a history of kidney stones and went to his primary care physician, who was able to relieve the pain but it took 4 months before he can see the urology specialist, who was out-of-network and who was needed to resolve his particular situation with that kidney stone so it would not re-occur. I spoke to another client who was admitted to Jupiter Medical Center. Upon admission she was told that the hospital just dropped the Advantage plan she was then currently on.
Medicare Advantage is a Medicare replacement, not a Medicare Supplement.
Medicare Supplement Insurance is used to supplement Medicare Insurance plans. Medicare Advantage, on the other hand, does not supplement existing Medicare. Instead, it replaces Medicare insurance altogether. It’s also important to know that Medicare Advantage plans contain gaps, so members are still responsible for paying deductibles, co-insurance and co-pays and, copays and co-insurance can be much higher for going out-of-network. The only way these gaps can be avoided is by staying on original Medicare Part A and Medicare Part B and purchasing a traditional Medicare Supplement policy.
Many Top Experts Agree that, Medicare and Medicare Supplement Insurance is preferable to Medicare Advantage Plans because you have the Freedom to Choose Any Doctor or Hospital anywhere in the United States. No Deductibles. No Co-Payments. No Referrals Necessary. No Claims Forms and one monthly premium. There is 100% Coverage with No Remaining Bills to pay if you purchase Plan F while the High Deductible F plan is significantly less costly.
For free no obligatory quotes go to: www.medicare-supplement-florida.info
or, call Neil Primack at: 561-935-3907