Help! Surgery Postponed After Enrolling in a Medicare Advantage Plan!

Did you make a mistake and choose the wrong plan for you? Well, I’ve got good news for you. January 1st begins a three-month period that allows you to disenroll from a Medicare Advantage Plan. Toni discusses the Medicare Advantage Open Enrollment Period, gives great advice on how to make sure that your change is best for your particular medical needs, and more!

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What’s the Difference Between Medicare Supplements and Medicare Advantage Plans?

Medicare Supplement:

1. Medicare Supplements work directly with “Original” Medicare. Medicare pays its share of the Medicare-approved amount for “medically necessary “covered healthcare costs. 
2. The supplement will pay its share. You choose – not the insurance plan – which doctor, hospital, home health agency, skilled nursing facility, etc., so long as the provider accepts Medicare assignment for your healthcare. You and your healthcare providers are in control of your healthcare. 
3. The downside to a supplement is that you have a monthly premium that may increase each year.
4.  Medicare prescription (Part D) drugs plans are not included, so you may need to enroll and will pay separately for a “stand alone” Medicare (Part D) Prescription drug plan.

Medicare Advantage PPO Plan: 

1. To qualify for any Medicare Advantage plan:  a) You must be enrolled in both Medicare Parts A & B. Must live in the service area 6 months out of the year.
2. Medicare pays the insurance company a certain dollar amount every month for your care with the Medicare Advantage Prescription Drug (MAPD) plan you are enrolled in. Your Part A and Part B must always remain in effect.
3. When you go to the doctor, hospital or visit your pharmacist, you must only use your Medicare Advantage Plan insurance card, not your Medicare (red, white, and blue) card. You must verify that your specific medical provider is still accepting the MAPD plan you are enrolled in.
4. A Medicare Advantage Plan must provide all your Part A and Part B benefits and some Medicare Advantage Plans have Part D prescription drug plans included. The plan may also have “extra” benefits such as gym membership, dental and vision.

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