MEDICARE ADVANTAGE

What about emergency care while traveling?
Medicare Advantage plans are required to cover emergency care – whether home or away. You should not need a referral from a primary care physician or authorization from your Medicare Advantage carrier to receive emergency services.

Are there different types of Medicare Advantage Plans?
Yes. Medicare Advantage Plans include Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), Private Fee For Service (PFFS), Medical Savings Account (MSA), Special Needs Plan (SNP), Point Of Service Plan (POS) and Provider Sponsored Organizations (PSO).

What are my costs associated with Medicare Advantage Plans?
Your out-of-pocket costs depend on many factors including whether your plan charges a monthly premium in addition to your Part B premium, whether your plan has any deductibles to meet, whether your plan requires copayments or additional fees. Many plans offer a yearly limit on out-of-pocket costs.

Are all Medicare Advantage Plans essentially the same?
No. Medicare Advantage Plans are approved by Medicare but offered by private companies and as such, each has its own regulations and requirements. Not all plans work the same way so it’s important to compare plans before enrolling.

When may I enroll in Medicare Advantage?
Initial enrollment is permitted when you first become eligible for Medicare or when you turn age 65. If you’re newly eligible for Medicare because you’re disabled and under age 65, if you’re already eligible for Medicare because of a disability, and you turn age 65, and under certain circumstances that qualify you for a Special Enrollment Period (SEP). NOTE: Under the new Healthcare bill, there are some important enrollment date changes: Starting in 2011, the Enrollment Period will be changed to October 15 through December 7 ONLY.