When looking to get health insurance coverage as an older adult, one of the options that you can get is Medicare. With Medicare, you will be able to get advantage plans which are insurance policies offered by a private company. The private insurance company then forms a contract with Medicare to provide coverage for both Part A and Part B benefits. Those who are enrolled in the plan are covered. While Medicare doesn’t directly pay for these expenses, it helps provide support for those who need financial assistance in affording their medical expenses.
Medicare Advantage Basics
Before deciding to get a Medicare advantage plan, it is important to understand all of the Medicare advantage basics. Whenever you get Medicare advantage plans, you will receive coverage for all types of expenses such as hospital visits, prescription drugs, x rays, surgical procedures, and visits to a physician’s office. As a result, Medicare Advantage plans provide you with comprehensive coverage.
Like all other types of medical insurance policies, you will need to enroll in a plan if you want to receive the coverage. A good way to complete this process is to contact your current health insurance company and request to receive the Medicare Advantage plan. As long as you are age 65 or older, you will qualify for this plan. You will just need to complete an application and then you will be given the coverage.
When it comes to the overall cost of a Medicare Advantage plan, it is about the same as a regular health insurance policy. Since these plans are covered under a private health insurance company, the Medicare plans are included in the premium. As a result, your coverage will cost the same amount as your policy before enrolling in this health insurance coverage plan.
HMO vs PPO
Before getting a Medicare advantage plan or any other health insurance policy, it is important to know the difference between a HMO vs PPO. These are two of the main types of health insurance policies and Medicare advantage plans. Knowing about these two types of plans will enable you to make an informed decision on which type of plan is best for you.
HMO or Health Maintenance Organization plans to require you to get medical care from physicians and hospitals that are in your plan’s network. The exceptions to this are emergency care, out of area urgent care, and out of area dialysis. While you can get out of network healthcare services, it is less expensive to get care from a provider in your network. An example of a private insurance Medicare Advantage provider is Anthem or Aetna.
PPO plans stand for Preferred Provider Network. With this type or medical insurance plan, you can receive care from a network of physicians and hospitals that are in the plan’s network. Those who get these plans will have lower costs if they use healthcare providers in the plan’s network. However, if you use out of network healthcare providers, you will pay more for your healthcare. These types of plans offer additional benefits along with original Medicare that you may have to pay for.
Best Advantage Plans in AZ
Whenever you are looking to get a Medicare advantage plan, it is important to evaluate all of your options so that you can find the plan that is best suited to your needs. Therefore, you will want to compare the best AZ advantage plans. When beginning the process to compare the best AZ advantage plans, it is important to know about the insurance company, the exact benefits offered the premiums and the type of network that you will be getting with each plan. Today the best Medicare Advantage Plans in the state of Arizona include Humana, Kaiser Foundation Health, and United HealthCare.
If you would like to learn more about Medicare Advantage plans in AZ, feel free to contact us at 855-249-0191. One of our experienced insurance agents would be happy to answer any questions