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Medicare Advantage Plan FAQs

How can they offer insurance with no premium? 

  • While your plan does not have a premium, there are out-of-pocket costs including copays and coinsurance up to a maximum out of pocket for the year.  

Why would someone choose a Medicare Advantage Plan?  

  • You may choose an Advantage plan because of the low or no monthly premiums, the out-of-pocket limit and because there is no medical underwriting, and they do not have rate increases. 

  • They wrap all of your coverage into one plan: medical, hospital, prescriptions as well as added benefits like dental, vision, hearing, gym memberships and over the counter products at no charge.  

  • You pay affordable copays when you use services, rather than premiums paid every month whether or not you need services.  

Am I still in Medicare with an Advantage Plan?  

  • Yes, once in Medicare you will always have Medicare and continue paying your Part B premium. Private insurance companies offer advantage plans, and they become your primary provider with Original Medicare secondary. 

Do I need a stand-alone prescription drug plan with my Advantage plan?   

  • There are Advantage plans with and without prescription drug coverage.  It is important to know which type of plan you are enrolled in to avoid any penalties and to avoid duplicating coverage.  

What if I don’t like my Advantage plan and want to go back to Original Medicare? 

  • You can change your Advantage plan every year during the Annual Enrollment Period (AEP) , during a Special Enrollment Period (SEP), such as moving, during the Medicare Open Enrollment Period (MA-OE)or anytime during your first year in any Advantage plan.  

If you have any additional questions, contact our team today! 

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