The different types of Medicare Advantage Plan one need to know before signing for one

You can get the benefits of your healthcare through two sources, from the Government and from any private organisation. If the government is paying you for your health benefits, you are having an Original Medicare and if any private company is doing so, you are having a Medicare Advantage Plan.

When one is having a Medicare Advantage Plan, the individual will be benefitted in both inpatient and outpatient care, total doctors’ services in a skilled nursing facility, medical supplies, home health and preventive services. In other words, Medicare Advantage plans for 2019  will cover services such as Preferred Provider Organizations (PPO), Health Maintenance Organizations (HMO), Special Needs Plans (SNPs), Medicare Medical Savings Account Plans (MSA) , and Private Fee-for-Service Plans (PFFS).

So, what are these different types of Medicare Advantage plans for 2019?


  • Health Maintenance Organization or HMO plans: Most of the Health Maintenance Organization plans covers going to the doctor or other health care providers or hospital that are in the plan’s network. Cases of an emergency situation are different. Also, one may have to get a referral from the primary care doctor before going for a test or to a specialist.
  • Preferred Provider Organization or PPO plans: In a Preferred Provider Organization plan the individual has to pay a less amount for taking the health benefits from doctors, hospitals and other healthcare services that are within the plan’s network. For services outside the network, you have to pay more.
  • Private Fee-for-Service or PFFS plans: The Private Fee-for-Service plan is pretty much similar to the Original Medicare. One can visit any doctor, go to any health care provider or hospital. They must accept the payment terms of the plan. The PFFS plan will determine the amount the individual has to pay to the doctors, healthcare providers or hospitals and for obtaining the received care.
  • Special Needs Plans or SNPs: Special Needs Plans are for a specific group of people. SNPs applies to people living in a nursing home for long or suffering from certain chronic medical conditions. SNPs is applicable to persons having both Medicare and Medicaid.
  • HMO Point-of-Service or HMOPOS plans: HMO Point-of-Service plan generally offers a higher Co-payment or Coinsurance. In return, the applicant is allowed to use some facilities that are outside the network.
  • Medical Savings Account or MSA plans: First of all, for a Medical Savings Account plan, the applicant needs a bank account and a high-deductible health plan. Money from the Medicare service will get deposited in the bank account which can later be used for paying for the health benefits got. MSA also covers the cost of Prescribed Drugs.

For more information related to Medicare Supplement Plans 2018.

Worried about health care? Get Medicare Supplement Plans

If health is a concern to you and you cannot get past the fact of what will happen if you couldn’t afford to get all the medical costs, then to ease your worries, the best course of action that needs to be taken is to get Medicare as soon as possible. But here’s a catch too. Medicare does not cover all your medical expenses. The extra costs which mainly are doctor’s fees, nursing facilities, and ambulance cost etc. do not fall under the actual Medicare. These costs may seem an extra burden to people who frequent hospitals. To help you with these problems, there are private companies who sell the best Medicare supplement plans that cover and take care of all the extra costs that might seem overwhelming and can pose problems.

Medicare supplement plans, most commonly known as Medigap are the policies that are not covered by your original Medicare and can help you pay all the extra costs that you need to cover. Popular in the States, your Medicare policies effectively come into existence at the first month when you turn 65. You cannot avail a medigap plan unless and until you have enrolled for the Part A and Part B of the original Medicare policies.

Knowing your Medicare supplement plans

Being a senior citizen has its perks. If you are 65 or older, and you are new to Medicare Plan B, you automatically become eligible for open enrollment in medigap. This starts on Day 1 of the month when you turn 65 and can last up to 6 months straight. It is imperative for you to know that your medigap policies are renewable and you do not need to purchase a new one unless you are in need of it.

Know the monthly premiums

Your monthly premiums keep your Medicare supplement plans on the go. No insurer can cancel or stop your medigap policies for any reason as long as you keep paying your premiums. However, you should also keep in mind that a single medigap policy can cover only one person and not others. Your medigap policy covers for you and not you’re family or relative or anyone else.

It should also be kept in mind that a medigap is not the same as Medicare Advantage plans. You cannot have both working together. You can only take advantage of one of these policies because they cannot be kept together.

Medicare Facts

Medicare Supplement Insurance is utilized to help with health care costs that are not secured by the first Medicare plan. The scope costs fluctuate a considerable amount in light of the fact that the distinctive organizations charge an assortment of premiums. This insurance likewise assists with co-payments and deductibles. Individuals who are enlisted in a Medicare Advantage Plan can’t utilize it. All Medicare supplement strategies must be plainly distinguished all things considered. These strategies are required to have comparable if not indistinguishable advantages. Learn more at


Advantages like long haul mind, eyeglasses, dental care, and so on. At times, insurance organizations must offer you a strategy paying little mind to any health issues you have particularly on the off chance that you are making application amid open enlistment. On occasion other than open enlistment, the insurance organization can decline to issue you an approach on the off chance that you have prior conditions. Since numerous individuals have therapeutic issues, the best time to purchase an approach is amid open enlistment.


Open enlistment goes on for a half year and begins on the first day of the month that you turn 65 and are selected in Medicare Part B. They can influence you to sit tight to begin your scope for any prior conditions yet there are even approaches to abbreviate or maintain a strategic distance from the holding up period. Likewise remember, in the event that it is an administration secured by Medicare, they will at present take care of the expenses, regardless of whether your out of pocket costs are not paid for by your other arrangement.


It is essentially critical to see how open enlistment functions. Amid open enlistment, the insurance organization must offer you a strategy at an indistinguishable cost from healthy individuals regardless of whether you have health issues. Get assistance from an insurance proficient, if essential so this vital open door isn’t missed. On the off chance that you hold up until the point that your open enlistment is finished, the insurance organization does not need to offer you a strategy on the off chance that you are in weakness.


There are specific circumstances when insurance organizations must offer you scope by law, regardless of whether you have health issues. As a rule, in the event that you have other insurance scope that you lose for reasons unknown, you can in any case get an approach with previous conditions. This circumstance is known as an ensured issued right.


Care ought to be taken in picking the approach that is appropriate for you. There are numerous issues to consider. What kinds of advantages do you need? What amount would you like to spend on your premium? You should pick deliberately in light of your needs since you will be unable to change strategies that effortlessly later on. Once more, counselling an insurance master would be very gainful. Likewise, you can simply call the insurance division in your state.


While examining insurance organizations, utilize your neighbourhood library to check whether the insurance organization you are thinking about has received any grumblings. You additionally need to check the budgetary strength of the insurance organization being referred to. At long last, think about suppositions from put stock in relatives or companions.


Medicare supplement insurance is utilized to help with health mind costs that are not secured by the first Medicare plan. Long haul mind and different advantages like eyeglasses and dental care are not secured by this plan. It is extremely essential to agree to accept scope amid open enlistment. At long last, care ought to be taken in picking the correct transporter and the correct plan for you.

Factors Determining Medicare Supplement Plans Premium

Typically your premium for Medicare supplement plans are decided with your preliminary decision of which supplement plan you pick up for yourself and of course the company from where you take it. Now from company to company the premium rates differ for a same plan. Since supplement plans are particularly standardized by the federal government, you don’t need to panic about differences of benefits, but the premiums vary with insurer, and the factors they take into consideration for defining their premium scales include the following factors.

Issue Age Rated

Though the popularity of this type of rating for policies is declining, however in spite of that there are few states which are still clings to this rating type. As per this, when you enroll for the best Medigap plans for 2018, your age on the initiating date of the plan is locked. While the plan rates might increase with inflations, they seamlessly increase accordingly as you age.

Community Rated

This rating type of supplementary plans allows every one regardless of their age, pay the same amount of premium and this is the reason why this plan type is termed as community rated. However, the premium amounts are subject to changes and increase owing to influencing factors as well as inflation. While once again even this type of pricing trends are not much common these days, yet even when you spot one you will find them to be a bit over the edge expensive for beneficiaries below the age of 75 and the rates to be in competitive edge for those above 75.

Attained Age Rated

There are few states which particularly mandate issue age rating for supplementary plans, however apart from that attained age rated Medicare supplement plans stand out to be the most popular until now. Initially when you sign up for the policy the premium is scaled as per your current age at that time. Now with every passing year as you age, the premium scales will also mature accordingly with a little percentage of increase. But this does not mean that whenever there is an increase in the premium amount it is only due to age, apart from age related increase in premium amount every year, inflations and other influencing factors will also be involved for the overall increase in the premiums.

Therefore, when you plan to make considerations for your new Medicare supplement plans, Do pay heed the criteria your insurer has picked up for premium scaling.

Facts About General Medicare Supplement Plans

Quite simply thinking about the Medicare supplement plans available in the market, one can understand that definitely you have a lot of options in your hand, when you have a range of 10 different plans there in the market. Now, it can be overwhelmingly confusing for anyone who is not much acquainted with the benefits, coverage, facility, of each plan to select one out of the choices. Therefore here are some useful facts about the best Medicare supplement plans for 2019, which can offer you an insight about how these plans are designed and the generally framework of their benefits.

Facts about Medicare Supplement Plans

These facts are provided to offer you an idea about the general understanding of supplement plan workings:

  • The rates of premium for Medicare supplement plans differ according to the beneficiary’s age, location, gender as well as use of tobacco.
  • There is actually no annual enrolment period for these plans, and you can take up a plan any time of the year.
  • These are particularly individual policies and there is no option for a joint policy with family members or spouse. However, some companies do offer a discount rate for two policies from a same residential address.
  • Since Medicare supplement plans are standardized as per Federal parameters and from company to company you get exactly the same benefits from a plan. However, in some states the structure may differ.
  • These plans offers you the ultimate benefit of enrolling with any of the supplement plans without being questioned about your health issues, if you enroll within the guaranteed Issue or Open Enrolment period after your Medicare enrolment.
  • There is a substantial difference between Medicare Advantage plans and Medicare Supplement plans, while advantage plans pays you instead of your original Medicare plans Part A or B, while supplements pay you after Medicare.
  • Your Medicare supplement policy company cannot cancel your policy under any circumstances, and these plans stands to be completely renewable. However, the only liability which can lead to the cancellation of your supplement plan can be nonpayment of premiums.
  • Supplement plans do not cover the pay of prescription drugs. In order to acquire prescription drugs coverage it is essential to have a Medicare Part D.
  • There is no coverage offered buy supplement plans for routine vision or dental checkups and treatments. If you require, then there are stand alone policies available in the market offering coverage on those.