Boise's Medicare Advantage and Supplement Plans Explained
Different Medicare Insurance Plans That Will Work According To your Healthcare Needs
Medicare Advantage Plans, a type of Medicare health plan offered by contracting private companies, give all Part A and Part B benefits. Medicare Advantage Plans: HMO, PPO, Private Fee-for-Service, Special Needs Plans, HMO Point of Service Plans, Medical Savings Account Plans.
Medigap Insurance
A Medigap policy is additional supplemental coverage that can be purchased to help cover the costs associated with your medical expenses not covered under Original Medicare.
The cost for this extra protection varies depending on which plans you choose. You may also purchase other types of policies such as dental or vision care.
Call our office today for a review of your current policy! We have over 20 years experience helping our clients save money and find the best coverage.
How Medicare Supplement Insurance (Medigap) Policies Work with Medicare Advantage Plans
Each Medicare Advantage Plan can charge differently. Most Medicare Advantage Plans include prescription drug coverage. Some people buy Medigap insurance as an add-on policy when they sign up for Medicare Part B.
Others purchase supplemental private insurance after joining a Medicare Advantage Plan. If you don't know which type of supplement is right for you, ask your agent or call 1-800-MEDICARE, TTY/TDD 711.
Medicaid
The Medicaid program provides federal funding to states so they can provide healthcare services to low-income individuals who are eligible for both Social Security Disability and Supplemental Security Income. In addition, some states have their own programs called State Children’s Health Insurance Program, which covers children up to age 19 whose families earn too much money to qualify for Medicaid but cannot afford private insurance.
Medicare Advantage
Covered services in Medicare Advantage Plans
The following is an overview of the benefits that most Medicare Advantage plans cover:
- Hospitalization
- Skilled nursing facility care
- Home health visits
- Hospice care
- Medical equipment such as wheelchairs, walkers, canes, oxygen tanks, etc.
- Prescription drugs
- Dental care
- Vision care
- Long-term care insurance
Rules for Medicare Advantage Plans
If you prefer a health maintenance organization plan with no deductible, we have several options available that offer comprehensive coverage including:
- Preventive services without deductibles
- Hospitalization up to 100% coinsurance after your deductible is met
- Dental care without co-payments
- Vision care without copayments
- Pharmacy benefit with no cost-sharing
- Health coaching programs
- Wellness visits
- Mental health counseling
- Chronic disease management
Humana PPO Plans
Our preferred provider organizations plan provides access to doctors who accept assignments from us. We also cover many other services like eyeglasses, contact lenses, eye exams, glasses frames, and hearing aids.
Do I have to pay my deductible first before insurance kicks in?
No. Your medical bills will be paid directly after we've met your deductible amount.
Costs for Medicare Advantage Plans
Each Medicare Advantage Plan can charge differently. The cost of Medicare Advantage Plans varies depending on where you live and which company is providing them. The average monthly premium for an individual who lives outside of a metropolitan area ranges from $0-$1,000 per person. In urban areas, premiums range between $2,500 -$5,200 per person. You'll pay higher costs when you move into rural areas.
**You should check out all the options available to find one that works best for you.
Drug coverage in Medicare Advantage Plans
Each Medicare Advantage Plan can charge differently. Some Medicare Advantage Plans include prescription drug coverage as part of their package. You usually don't have to worry about paying out-of-pocket for prescriptions because they're covered under Part D. However, you do have to be careful when filling prescriptions at retail pharmacies since not all stores accept insurance. If you fill them at an independent pharmacy instead, check whether the store is in the plan's network. Also, make sure you know which medications aren't included in the plan.
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