A senior citizen or a retiree can get required health care coverage in two ways one of them is Medicare Advantage Plans and second one is Original Medicare. Nowadays there are around 58 million people who are enrolled in Medicare and out of those 58 million the 19 million have Medicare Advantage plan. A person will surely be confused after looking at these facts that why large number of people chose both of these schemes. In, this article we are going to discuss Medicare Advantage vs. Medicare so people could get the complete picture regarding these two modes.
The thing is that in Original medical security the federal government is responsible for providing a person’s healthcare coverage. However, in medical insurance Advantage Plans healthcare coverage is provided via the Medicare-approved private insurance company which also controls the terms and conditions of an Advantage Plan.
Moreover, the medicare advantage plans for 2019 come in many types, but two of the most common types are Health Maintenance Organization Plan (HMO) and Preferred Provider Organization (PPO). Another major difference is that in HMO and PPO a person can visit the in-network hospitals and doctors for lower costs as compared to higher costs which are charged in PPO plan if member goes to any Medicare-approved out-of-network doctor or hospital whereas in Original Health insurance a person can visit any health insurance approved doctor or hospital facility.
Furthermore, Medicare Advantage Plans offer you a complete package which surely includes Original Health insurance Part A and Part B and some types also offer Part D Prescription Drug coverage. Health insurance Advantage Plans are also famous for their supplemental benefits which are not covered by Original health insurance such as:
- Routine vision examination, prescribed eyewear, and also contact lenses for some people.
- Hearing examination, there are some plans which also offer yearly perk towards hearing aids.
- Non-surgical restorations along with regular dental examination.
- Some plans are so generous that they take care of their member’s fitness and hence offer them fitness programs such as gym memberships.
Health insurance Advantage plans are also known for their maximum on out-of-pocket costs. These maximums help members in saving big amounts because member pays some out-of-pocket costs whenever he or she takes any healthcare service but when in same year those out-of-pocket costs reach maximum threshold ($6,700) then plan provider pays all further expenses, but Original health insurance does not contain any such benefits or cost-effective method due to which more and more people are moving towards health insurance Advantage Plans.