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The Importance of Medicare Advantage Plans

Health is one of the most precious assets, so it is highly essential to choose a health plan that provides sufficient coverage and reliable protection for you and your family. One such plan could be a Medicare Advantage plan, that may include additional plan benefits.

What is Original Medicare?

Original Medicare is a fee-for-service health insurance program that includes Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). It covers a range of services, including:

  • Inpatient hospital care
  • Doctors' services and tests
  • Preventive services
  • Outpatient medical services
  • Drugs, medical supplies, and equipment
  • Lab tests, x-rays, and exams
  • Operating and recovery room services
  • Diagnostic tests
  • Blood transfusions
  • Durable medical equipment

Medicare Part A & B

Original Medicare includes Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance). It covers services such as inpatient hospital care, doctors' services and tests, and preventive services. You pay for services and items as you receive them.

Original Medicare Eligibility

Eligibility depends on certain criteria. Anyone who has lived in the United States legally for at least five years and is 65 or older qualifies for coverage. Enrollment in both Parts A and B is automatic for anyone who receives Social Security benefits. Part D coverage is optional, and enrollment must be done by the individual. People under age 65 may be eligible if they receive Social Security Disability Insurance (SSDI). Those who receive SSDI generally need to wait 24 months after they receive their first check before they become eligible for Original Medicare although the program waives this requirement for anyone with ALS and or with permanent kidney failure. Enrollment can be done through the Social Security Administration (SSA) website. Initial Enrollment Period into Original Medicare starts 3 months before the 65th birthday, the month of, and 3 months after. Medicare Advantage & Prescription Drug Plan Annual Enrollment Period is from Oct 15 - Dec 7 of every year.

Is Medicare Advantage Worth Enrolling in?

Considering this is a big decision on your part, we advise you to connect with a licensed insurance agent for reliable consultancy and understanding of your needs. It is highly recommended to consider more than one insurance company before enrolling in a plan. This will help you choose the right plan.

Original Medicare vs Medicaid

Both Original Medicare and Medicaid are government-sponsored health insurance programs, but there are different eligibility requirements for each one. While Original Medicare is meant for those 65 and older and younger people with certain health conditions, Medicaid is a joint federal and state program that provides healthcare coverage to people with low incomes. Recipients are required by their state to have a limited amount of liquid assets.

Choosing the Right Medicare Advantage Plans Carrier

When you feel that Medicare Advantage plans are the right option for you. The next step is to choose a Medicare Advantage Carrier. You may shop around to choose the most suitable plan Carrier. For this, you could analyze and evaluate various plan benefits. You may be sure that you completely understand the policy terms and conditions.



Insurance Disclaimer: Call the plan number on the back of your ID card or call Medicare at 1-800-MEDICARE (TTY users call 1-877-486-2048) to file a complaint and provide the agent or broker name if possible. quotemedicarenow represents Medicare Advantage [HMO, PPO, or PFFS] organizations and/or Medicare-approved Part D sponsors that have a Medicare contract. Enrollment depends on the plans contract renewal.quotemedicarenow takes no responsibility and assumes no liability for any content posted by consumers or any third party. By completing the contact form above or calling the number listed above, you will be directed to a licensed sales agent who can answer your questions and provide information about Medicare Advantage, Prescription Drug (Part D) and Medicare Supplement insurance plans. Neither quotemedicarenow nor its agents are connected with or endorsed by the U.S. government or the federal Medicare program. Availability of insurance companies and products are dependent on your resident zip code. Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply. **Information related to DOB and gender is not needed for Medicare Advantage and Part D plans. *The Medicare Advantage and Prescription Drug Plan Annual Enrollment Period (AEP) runs from October 15-December 7. During this time, Medicare recipients can evaluate their current coverage and possible enroll in a different plan for the upcoming year. Enrollment in a plan may be limited to certain times of the year unless you qualify for a special enrollment period or you are in your Medicare Initial enrollment Period. Enrollment in the described plan type may be limited to certain times of the year unless you qualify for a Special Enrollment Period. Participating sales agencies represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan’s contract renewal. TPMO: We do not offer every plan available in your area. Currently we represent [HMO, PPO and PFFS] organizations which offer [Medicare Advantage, Prescription Drug (Part D) and Medicare Supplement Insurance Plans] products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program( SHIP ) to get information on all of your options