Questions To Ask When Enrolling in a Medicare Advantage Plan

If you are eligible for Medicare, you may be wondering if you should expand your insurance coverage. A Medicare Advantage plan is one way to do this. It is private health insurance that is available through the traditional Medicare system. The plan offers more flexibility, and it also often allows you to access services that original Medicare does not cover. However, there are different plans, and the coverages vary, so it is important to ask questions before enrolling in an Advantage plan.

1. What are my copays, deductibles, and premiums?

The thought of obtaining additional insurance coverage may sound great, but it is a good idea to consider the extra costs. With the Medicare Advantage plan, you typically do not pay a monthly premium. You may, however, owe a deductible, copays or both. Find out what specific terms the plan includes and if they fit into your budget.

2. Are my doctors covered under the plan?

Some people do not have a preference as to which doctor they see, as long as they are well-trained, kind and professional. However, you may have some favorite doctors that you have been with for years. If they are not in-network with the Medicare Advantage plan, the plan may not cover any services you obtain from them, or you may owe more for out-of-network services. If keeping your doctors is important, find a plan that covers their services.

3. Does the plan cover any extra services that Original Medicare does not (dental, vision, transportation, meals)?

One benefit of enrolling in a Medicare Advantage plan is the fact that it often covers some services that traditional Medicare does not. Common covered services include vision and dental. If you currently have difficulty seeing, or if you need a lot of dental work, enrolling in a plan that covers these services may be a smart thing to do.

4. Will the plan cover my prescription drugs?

Prescription drugs are costly, and people over the age of 65 generally take more medication than younger people. Original Medicare does not cover prescription meds, and this can add up. The out-of-pocket costs related to prescriptions for older adults range from 56% to 67% of total medication expenses. If you suffer from a chronic illness, finding a plan that covers the prescription drugs you need can save you a lot of money in the long run.

5. Is my hospital in the plan’s network?

Just as you may want to keep your doctors, you may have a preference for the hospital from which you receive medical care. Some Medicare Advantage plans may also cover skilled nursing facilities. Find a plan that not only meets your current needs but also provides coverage in the event you need more care in the future, such as assisted living or home health care.

There are various insurance plans that may provide coverage beyond what traditional Medicare covers. It is important to find the plan that works for your needs and your budget. For more information about Medicare Advantage Plans, contact us: https://www.premiumchoice.com/contacts or call 844-630-0136.