Medicare Advantage Plans: What You Need to Know

Medicare Advantage plans offered by O’Neal Insurance Group may be available to you if you meet all the eligibility requirements associated with Medicare.

Listed below are four things you should know about Medicare Advantage programs.

1. Medicare Advantage plans may require you to pay two premiums.

Premiums for some medicare advantage plans are as low as $0. However, many 0 premium PPO plans for Hattiesburg, Mississippi, require you to pay a monthly fee to be covered. You are also responsible for paying your Medicare Part B premium, which is paid to the government, in addition to the Medicare Advantage premium.

2. Medicare Advantage plans often come with additional benefits.

Prescription medications used at home are only covered to a limited extent under Original Medicare (Parts A and B), but most 0 premium PPO plans for Hattiesburg, Mississippi do. In addition, other supplementary benefits, like routine dental, eye, and hearing coverage and fitness benefits, may be covered under Medicare Advantage plans.

3. Most health issues will not preclude you from enrolling in a Medicare Advantage plan.

If you have a pre-existing disease, such as high blood pressure or cancer, joining a Medicare Advantage plan is usually not a problem. Medicare Advantage plans do not cover end-stage renal disease. On the other hand, people with ESRD may be eligible for a Special Needs Plan, a sort of Medicare Advantage plan.

4. There are networks in many Medicare Advantage programs.

Many 0 premium PPO plans for Hattiesburg, Mississippi are set up as HMOs (Health Maintenance Organizations) or PPOs (Preferred Provider Organizations) (Preferred Provider Organizations). Network lists of suppliers contracted to deliver services under the plan are standard in both programs. You may be allowed to use out-of-network doctors, hospitals, and providers for a fee. However, the fees you spend to see providers, not in your network, may not count toward your out-of-pocket maximum. 

Some other benefits are:

The Medicare program governs Medicare Advantage plans.

Even though an O’Neal Insurance Group will administer your benefits, you are still enrolled in the Medicare program with a Medicare Advantage plan. You still have rights and safeguards under Medicare, such as the ability to challenge a coverage decision.

There are out-of-pocket maximums in all Medicare Advantage plans.

In contrast to Original Medicare, all Medicare Advantage plans limit how much you will pay out of pocket for eligible medical expenses. The out-of-pocket maximum is reset every year. 

O’Neal insurance group can assist you!

Are you looking for a Medicare Advantage plan in your neighborhood? To begin comparing Medicare Advantage plans, Contact O’Neal Insurance Group. We are here to help you with all the information about the medical advantage plan.