2021 is just around the corner and it is high time we all start planning for the coming year. Your health is particularly very important. If you are 65 years or older, you need to consider joining the Medicare insurance cover. If you are already a member you may be looking for a better plan. You will get everything from a WellCare Medical Advantage plan. What is this and what are your options?
WellCare Medicare Advantage Plans Explained
The Medicare Advantage Plan is defined as medicare insurance provided by an approved private company. The company offers broader coverage than the traditional medicare cover including things like drug coverage and clinical research (subject to specific plan terms). Medicare Advantage plans cover most of the Medicare part A and B benefits. In addition, the rate you are charged monthly may vary depending on the state you live in. For instance, North Carolina Medicare Advantage plans may differ from plans in Georgia.
With the WellCare Medicare Advantage Plans explained, you will understand why this is a good choice. The first reason is that these plans follow the rules set by Medicare. The actual amount you will pay in premiums will vary depending on the plan you choose and the extent of the coverage. Regardless of the plan you enroll for, you will get more benefits you would than with the original Medicare cover. The extent of the coverage and the rules governing the plan differ from one plan to the other. The WellCare Medicare Advantage plans have yearly limits set on the amount you can pay out of pocket. Once you reach the maximum, the plan will pay for any additional expenses incurred.
What can you expect in 2021? It has been reported that Medicare Advantage premiums will reduce. Actually, they will dip to the lowest ever since 2007. They will be 11% lower than in 2020. You can also expect to find more plans to choose from. And now even more people qualify for this insurance with people with End-Stage Renal Disease being included in the coverage.
How can you get the WellCare Advantage Plan? Changes to Medicare plans will be opened between 15th October and 7th December 2020. During this time you may enroll in one or change from one medicare advantage cover to another. Welcome to WellCare.
WellCare Medicare Advantage Networks
The WellCare Medicare Advantage Networks refer to the group of medical facilities, hospitals and doctors covered by a plan. These are the facilities you should seek treatment at and doctors who can treat you. Generally, the cost of being treated within the network is lower than getting therapy from facilities outside the network.
Along with every WellCare Medicare Advantage plan, you will be provided with a list of within-network providers. On whether you will need to pay out of pocket for being treated elsewhere, it will depend on the kind of plan you choose.
HMO vs PPO
Among the various types of Medicare advantage plans are Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO). What is the difference between these two? We look at HMO vs PPO.
In HMO plans, you only get healthcare from in-network facilities and doctors. The only exception to this is in cases of emergency. You need to choose a primary care doctor within the network. To see a specialist within the network, will require a referral. If you seek non-emergency medical services outside the network, you may be required to pay the full cost.
On the other hand, PPO plans offer you the flexibility to see a doctor or specialist within the network without having a referral. However, if you see a specialist outside the network, it will cost more. You do not need to choose a primary care doctor. In case of emergencies you can see any doctor and you will be covered.
The actual terms of WellCare Medicare Advantage Plans differ from one to the other. Go through all the documents provided to understand what these terms are for your preferred plan.
If you would like to learn more about WellCare Medicare Advantage plans or would like to receive a free consultation and quote comparison, contact one of our experienced insurance agents at 855-249-0191. We would be glad to help you with your Medicare journey.
Learn more: UnitedHealthcare Medicare Advantage Plans 2021