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Ashford Insurance

Lake Worth Medicare Advantage

Medicare Advantage Made Easy

Lake Worth Medicare Advantage

 

Medicare Part C is commonly known as Medicare Advantage (MA plans) and is offered in the common forms of an HMO or PPO plan from private insurance companies approved by Medicare.  This means that those who choose a Medicare Advantage plan are subject to using the doctors listed in the associated HMO (requires referral) or PPO (referrals NOT required) networks.

These are the plans that everyone sells during the annual enrollment period from October 15th through December 7th and some during the open enrollment period from January 1st to March 31st of each year.

The confusing part about Medicare Advantage is that people often think if they have a Medicare Advantage plan, that they no longer have Medicare, not true!

Parts A and B are required to enroll in Lake Worth Medicare Advantage

The difference is that once you are enrolled in Medicare Advantage, the private insurance company becomes the primary payor instead of the Medicare program and assumes the liability of paying the Part A and Part B covered services. This was a way for Medicare to cut spending and transfer patient liability to private insurance companies. This transfer of liability is why you see some plans offering additional benefits such as dental, vision, hearing, and wellness. It’s the private insurance company’s best interest to keep their policyholders healthy to maintain acceptable loss ratios.

Why do people choose Medicare Advantage?

  • Covers Part A and Part B deductibles
  • Carries little to no premiums
  • Offers additional services such as hearing aids, wellness discounts, and limited dental work.
  • Some plans include prescription drug coverage, reducing the out-of-pocket monthly premium costs.
  • Using Part C is one way you can limit your risk of the 20% liability of original Medicare.

With Lake Worth Medicare Advantage, you will usually pay a lower co-pay per day for hospital stays. Medicare doesn’t cover regular vision exams, eyeglasses, or contacts and it also doesn’t cover most dental care. But many of our Medicare Advantage Plans offer vision, dental and hearing coverage. Call 817-952-3153 to speak to an Agent.