Medicare Advantage policies are specific kinds of Medicare policies formulated to insure the cost of healthcare expenses for Medicare participants. These plans are similar to traditional Medicare plans in that they provide financial support to people seeking medical or health-related services. All persons eligible for Medicare will be accepted. Regardless of any health issues, excluding end-stage kidney disease, people can register for it every year when the enrollment period is open. Medicare Advantage plans are also known as Part C plans and constitute a section of Medicare programs. Your Medicare-covered medical care can be obtained when you choose this plan. Coverage for prescription drugs that are part of Part D plans may also be covered under this plan or you may apply for a separate Part D plan to receive prescription drug coverage.
Excluding the Special Needs Plan (which requires a health questionnaire), there are no health questions for the other plans. Individuals should speak with their health insurance provider if they are considering enrolling in a PFFS or are presently signed up to a PFFS or for more information on how their provider will respond to upcoming changes in PFFS. There are many good plans with outstanding benefits remaining. The annual election period from November 15 to December 31 of each year allows customers to change plans without a medical signature. The premium for these plans is not based on age or health conditions; therefore, these plans are competitively priced.
Participants of Medicare should also know that policies of Medigap do not offer coverage gap for people participating in the Medicare Advantage program. In addition to reducing the amount of government reimbursement for PFFS plans, PFFS plans are expected to develop health service provider networks from 2011. The change will require PFFS beneficiaries to select their health service providers from the network of the plan, which limits their freedom to see the providers they prefer.
Experts foresee that a lot of providers of health insurance will follow WellCare and Coventry to abandon their PFFS plans in the coming months. Advantage plans usually offer lower copayments and more benefits than many other kinds of Medicare policies. To have an Advantage plan, Medicare participants must have Medicare Part A and Medicare Part B plans. An important difference between Medicare Advantage plans and other types of Medicare policies is that participants of Medicare Advantage may only need to consult physicians who are members of the provider plan of Medicare Advantage. Policies may permit recipients to utilize a vast range of services, which includes preferred service organizations, health maintenance organizations of Medicare, Medicare special needs providers, and paid private service providers.