As we know the medical field is becoming wider. They are using advanced tools for which we have to pay more cash for better treatment. These tools are increasing the treatment costs as well as the Medicare advantage costs.
The dangerous diseases can cause a great harm to our health if we don’t get a right treatment at the right time. But with the increasing costs, the Medicare advantages are becoming difficult to purchase for the middle-class man.
Paying large Medicare advantage bills is a task of huge difficulty for the common man. The gap between Medicare costs will prevent you from taking good medical treatment. When you are suffering from any medical related health issue than having a Medicare Advantage Plan is must for you.
It is a basic need of every man who has less income and is unable to pay large hospital costs. The persons with disabilities and the men/women of age 65 are eligible to get a Medicare Advantage Insurance. We need Medicare in this age because the body is not enough strong as like in young age.
The diseases start coming because our antibodies are weak at this age. The medical help and hospital care are must for even a small health problem. Paying small bills is easy but when the hospital costs are going out of your pocket coverage, then the Medicare Advantage Plan will help you to cover this cost gap.
The main motive to adopt a Medicare Advantage Plan is to maintain your financial status with the help of an insurance policy. They can help you pay all deductibles, co-pay costs, and the advantage bills. The original Medicare Advantage doesn’t cover all the Medicare services of their clients. The plan adopted from a special Medicare Advantage Insurance company will help you to improve your financial status for having any costly medical treatment easily.
So this is the reason why we need a Medicare Advantage Plan. These plans are quite helpful in our critical financial situations. Our insurance funds saved with small costs can help us in any medical circumstance. “Save money for your health care because health is more important than wealth but wealth is necessary to save our health”. A bad health can occur any time, be prepared for the future payables in advance so that you have no need to borrow the funds at high interest from any lender.
Basically, the Medicare advantage plans are built for the goodwill of the customer. They are helpful to the client in many medical circumstances. But like other policies, the Medicare plans also have their own upsides as well as downsides. The upsides are offer benefits to the client by the plan and the downsides are the cons for the customers. In this article, we discuss the various advantages and disadvantages of the Medicare advantage plans that you have to check before purchasing a Medicare advantage policy for you.
Pros of Medicare Advantage Plan:
There are multiple policy options from which we can choose the best fit for our requirement. The policy agent can’t force the client to get any policy. There are several companies offering the same plans and with the same benefits. You can visit the desired company and choose your desired plan.
The second pro feature of Medicare advantage plan is that it has a special plan name as plan F. It is the richest plan and helps you to pay 100% of your costs related to Medicare benefits and facilities.
Another facility of this policy is that when you get a doctor that accepts these Medicare advantage policies, it will make you free of gatekeeper rules and conditions of HMO. So when you are choosing a doctor or specialist, don’t forget to compare the policies of a doctor. Select the doctor that accepts the Medicare.
Cons of Medicare Advantage Plans:
The Medicare advantage policies are more expensive than the formal Medicare supplement plans. They have high rate premium for every month that may be difficult to pay for a person with low income.
The decision of choosing a plan is quite difficult because of the large variety of plans to select from. There are many insurance companies that are offering same Medicare advantage plans under the same name. Due to this similarity selecting one company and one plan according to our requirement is a difficult task. In this way, the selection and plan adoption process becomes more time-consuming.
The premium is increased every year that means you have to pay more with your growing age.
You have to complete all eligibility criteria for having a plan in your older age.
So these are all advantages and disadvantages of the Medicare advantage plans. Check them all for selecting the best plan that is more beneficial for you and has fewer cons.
Aetna is known to be such a reputed American health insurance company which was founded in 1853. Aetna medicare advantage is considered to be one of the most popular and beneficial insurance services in the United States.
Aetna medicare advantage plan is likely to provide senior people with different useful Medicare coverage that will cater to their diverse needs. It is also considered as one of the effective alternative ways to avail the benefits of original Medicare plan.
As per the Aetna medicare advantage plan is supposed to cover anything and everything that are included in the Medicare Part A and B, only with the exception in hospice care. Hospice care is known to be covered under the Part A of federal program. On the other hand, there are some other Aetna advantage plans that offer exciting additional benefits like routine hearing care, dental care, vision care and prescription drug coverage.
For each state, there is supposed to be a different Aetna medicare advantage plan. Therefore, you are only eligible to avail a specific advantage plan depending on the state you live in. Each of these plans generally comes with different premiums as well as different benefits. Nevertheless, the basic benefits are same for all the advantage plans out there.
Types of Aetna medicare advantage plan
There are different kinds and types of Aetna medicare advantage plans available. Some of these kinds are described below.
HMO: Aetna Medicare Advantage Health Maintenance Organization plan is likely to have comparatively lower costs than the other similar plans since it uses a contracted provider network for keeping the expenses quite low.
HMO-POS: HMO Point of Service is nothing but some kind of variation on straight HMO model. In this plan, you are supposed to get some specific approved services outside plan’s provider network. In this case, the out-of-the-pocket cost is likely to be quite higher for these kinds of services.
PPO: Aetna Medicare Advantage Preferred Provider Organization plans are there to provide you with the flexibility to select any hospital or doctor according to your choice and wish. In this plan, you do not have to select any primary care provider. Moreover, you are not required to have any kind of referral from your doctor. This plan is supposed to give you coverage for the prescription drug. Services like dental, vision are also covered by this advantage plan unlike similar other service out there.
Medicare supplement plan is a health care plans introduced under the Medicare to provide more health care options for citizens of the United States. It is operational for certain groups of people; those who have attained 65 years and have worked for the system and in the process paid into it, those who are young and have disability, those who have been diagnosed with an End-Stage renal disease or kidney failure.
Supplement plan also called Part C is controlled by private institutions such as; private insurance companies, religious organizations, union and other kinds of private establishments. Part C is a kind of plan that offers many other benefits in addition to those offered by other plans namely; Medical insurance (Part A), Hospital insurance (Part B), Prescription drug coverage (Part D). It covers for your health only if you are eligible to register and also depending on the option you choose.
This Supplement is different from other health plans, because it has its own conditions, which every member should understand and work with. Below are some conditions under which this option works.
There has to be a membership of either Part A or Part B, before registering for Part C.
For drug coverage, you have to choose an option under this one that has a drug coverage plan.
There is continuation in payment for Medicare Part B monthly premium.
It is compulsory to be residential in plan’s service area.
This Medicare Supplement has a network of doctors, nurses or health specialists with which you have to work with if enrolled.
What else you need to know about it?
Other information you need to know about this one are:
In this one, there is need to start using your Medicare Supplement Plan card, instead of using your Medicare card, since health care is now provided by Medicare supplement and not your Traditional Medicare.
There may be annual changes and reviewing of the option by the company running it. So. There is need to get acquainted with these yearly changes.
There is need to ask your doctors or health care providers if they are in the network of this option, otherwise it will cost you more.
You will need to pay additionally for those additional benefits you receive from this plan.
Aetna medicare understands that health is more than physical. At Aetna, they believe in the need to take care of the whole of their beneficiaries — body, mind and spirit. That’s why their medicare plans take a total approach to health, so their beneficiaries can live actively for a long time. Aetna Medicare provides PDP, HMO, PPO plan with a medicare contract. They also have contracts with state medicare programs. Enrollment in any plans depends on renewal.
Aetna Medicare Supplement plans cover hospitalization and doctors in the same plan. And they may also cover:
Transportation to medical appointments
Prescription drug coverage
Mental health programs
Meals after a hospital stay
The quick view of supplement plans provides by Aetna
Commonly there are 3 types of supplement plans available in Aetna. Let’s have a look at this.
Medicare Supplement Plans (with or without medicine)
An alternative to HMO or PPO Plans
May also cover extra benefits, like dental care or wellness programs
Many plans include prescription medicine coverage
Medicare Prescription Drug Plans (part D)
Part D coverage is available separately or as part of many medicare supplement plans. These plans can also be added to:
Original Medicare (Parts A and/or B)
Medicare Supplement Plans (Medigap)
Some Private Fee-for-Service Plans (PFFS)
Medicare Medical Savings Account Plans (MSA)
Some Medicare Cost Plans
cover prescription medicine costs
Designed for people with HMO or PPO
Available if beneficiaries have a medical plan that doesn’t provide medicine coverage
Medicare Supplement Insurance Plans (Medigap)
Medicare Supplement insurance plans provide support to beneficiaries to pay for some of the costs not provided by original medicare (Parts A and B). This includes coinsurance and deductibles. This lets users to see doctors and hospitals who accept medicare. There are no network restrictions. This plan also has some other features like
It works separately with original medicare coverage plan
Also provide some benefits that original medicare doesn’t cover, like coinsurance, deductibles, and copayments.
Allow beneficiaries to add a prescription medicine plan.
Aetna Medicare Supplement Prescription Drug plans got high ratings by the Centers for Medicare and Medicaid Services (CMS) in the annual Star Ratings. For 2018 they got the rating of 4 out of 5 stars.