Medicare Supplements vs. Medicare Advantage For Senior Health

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Now is the time of year that senior health companies and insurance agents are out pushing various health plans for seniors. Medicare supplements, also called “Medigap” plans, are different from Medicare Advantage Senior Health plans.

Medicare Supplements and Traditional Medicare

Medicare supplements are policies that supplement, or fill in the gaps, of Medicare Part A and Part B coverage that is provided by the government for senior citizens and disabled people. Like other health insurance, Medigap plans will have a premium, and also come in a variety of levels. To use the plan, you would probably show your Medicare card and your Medigap card to a medical provider.

Medicare Advantage Plans

Medicare Advantage plans (MA), on the other hand, replace traditional Medicare Part A and Part B Coverage. While enrolled in a MA plan, you would use the private company’s insurance card. MA plans can be PFFS, HMO, or PPO plans. Private Fee For Service (PFFS) provide the same coverage to any medical provider who will accept the plan. PPO plans have a network of providers, and provide the highest coverage inside that network. HMO plans also have a network, but restrict coverage to that network. In the case of PPO or HMO plans, exceptions to network coverage are usually granted in the case of emergencies and other special cases. Make sure you understand how the plan works before you enroll, and especially, before you need medical services.

Medicare Supplement or Medicare Advantage?

So is a Medcare Supplement or Medicare Advantage plan better? That depends upon your own medical needs, monthly budget, and even where you live. If you live in an area with a large HMO network, you may be very satisfied with the ease of use and high coverage levels. If you live in an area without a large network, it may be very tough to restrict your medical care to the network and a PPO or PFFS may work out better for you.

Related posts:

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  2. Medicare Open Enrollment Starts Soon. Are You Ready?
  3. Medicare Health and Prescription Plan Info is Online!
  4. Medicare — Making the Most of Your Benefits!
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This entry was posted on Tuesday, November 18th, 2008 and is filed under Health Insurance.

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