Friday, October 30, 2009

Medicare Supplemental Vs Advantage Insurance

Medicare is a health insurance option for people age 65 and older.


Medicare supplemental insurance and a Medicare Advantage Program are two different Medicare options. If you enroll in Original Medicare Parts A and B and want insurance to cover expenses that those programs don't cover, you buy Medicare supplemental insurance. On the other hand, if you want an alternative to enrolling in Original Medicare Parts A and B, then you buy a Medicare Advantage Plan (also called Medicare Part C).


Medicare Basics


Original Medicare Part A provides hospital insurance, while Part B covers doctors' services, outpatient care and similar expenses. Both parts have deductibles, copayments and coinsurance, and Original Medicare does not cover all expenses. If you have Part A or B and want prescription drug coverage, you must buy Medicare Part D.


Medicare Supplement


A Medicare supplement (also called a Medigap plan) is designed to cover some of the expenses that Original Medicare Parts A and B do not cover. You must have both Medicare Part A and B to buy a Medicare supplement. Medicare requires that Medigap insurance companies sell only standardized Medicare supplements. These plans, each with specific required benefits, use the letters A through N as designations. Usually, the only difference between plans with the same letter is cost. However, the rules for Medicare supplements are different in Massachusetts, Minnesota and Wisconsin than in other states.


Medicare Advantage


When you enroll in Medicare, you can choose either Original Medicare Parts A and B or you can enroll in Medicare Part C, also known as a Medicare Advantage Plan. You buy an Advantage Plan from a Medicare-approved private insurance company. These plans must include all the services of Original Medicare Parts A and B, except hospice care (Original Medicare will still cover your hospice care).


More About Advantage Plans


Advantage plans may also provide extra coverage that Original Medicare does not provide, such as vision and dental benefits. Most Advantage Plans also cover prescription drugs (Medicare Part D). The costs, extra coverage and rules vary depending on the specific plan. According to Medicare, if you join a Medicare Advantage Plan, you don't need Medicare supplemental insurance.

Tags: Original Medicare, Medicare Part, Medicare Advantage, Medicare Parts, Original Medicare Parts