Congratulations on turning 65!
Many new beneficiaries are unaware of the extra benefits that Medicare Advantage Plans offer beyond Original Medicare. By the end of this guide, you'll have a clear understanding of how Medicare Advantage Plans can provide more coverage, greater convenience, and better value for your healthcare needs.
Congratulations on turning 65!
Many new beneficiaries are unaware of the extra benefits that Medicare Advantage Plans offer beyond Original Medicare. By the end of this guide, you'll have a clear understanding of how Medicare Advantage Plans can provide more coverage, greater convenience, and better value for your healthcare needs.
Understanding the Basics of Medicare
Original Medicare (Parts A & B)
• Part A: Covers hospital stays, skilled nursing facility care, hospice care, and some home health services.
• Part B: Covers doctor visits, outpatient care, preventive services, and some home health care.
• Coverage Gaps: Original Medicare does not cover routine dental, vision, or hearing care, leaving beneficiaries responsible for these out-of-pocket expenses.
Medicare Advantage (Part C)
• Offered by private insurance companies approved by Medicare.
• Combines Part A (hospital) and Part B (medical) coverage.
• Most plans include Part D prescription drug coverage.
• Offers additional benefits like dental, vision, hearing, and wellness programs.
WHO IS
Nizar Elhilali
Comprehensive Coverage in One Plan
Medicare Advantage bundles hospital, medical, and prescription drug coverage into a single, convenient plan.
Dental, Vision, and Hearing Benefits
Routine dental exams, vision care, and hearing aids are often covered, unlike Original Medicare.
Wellness Programs & Gym Memberships
Many plans offer free or discounted fitness programs like SilverSneakers to keep you active and healthy.
Lower Out-of-Pocket Costs
Medicare Advantage Plans set annual out-of-pocket spending limits, protecting your budget from unexpected medical expenses.
Prescription Drug Coverage (Part D Included)
Enjoy the convenience of having your drug coverage included in your health plan.
Transportation to Medical Appointments
Some plans offer rides to doctor appointments and pharmacies, helping you stay on top of your healthcare needs.
Over-the-Counter (OTC) Allowances
Receive monthly or quarterly credits to purchase health-related items like vitamins, pain relievers, and first-aid supplies.
Is Medicare Advantage Right for You?
Consider the following questions:
• Do you want extra benefits like dental, vision, and hearing coverage?
• Are predictable out-of-pocket costs important to you?
• Would you take advantage of wellness programs and fitness perks?
Additional Considerations:
• Provider Networks: Medicare Advantage Plans may have network restrictions. Check if your preferred doctors and hospitals are in-network.
• Plan Availability: Not all plans are available in every area. Availability varies by ZIP code.
Consider your current health conditions, medications, and desired extra benefits.
• Compare Plans in Your Area.
Use tools like the Medicare Plan Finder to evaluate plans based on premiums, coverage, and provider networks.
• Review Extra Perks.
Prioritize plans that offer the additional benefits that matter most to you, such as dental, vision, and fitness programs.
• Enroll During the Medicare -Enrollment Period.
Sign up during the Initial Enrollment Period (IEP), Annual Enrollment Period (AEP), or a Special Enrollment Period (SEP) if you're eligible.
Medicare Advantage Plans offer more than just medical coverage—they can enhance your overall lifestyle with extra benefits designed to support your health and well-being.
Contact us today for a free consultation to help you find the best plan for your needs!
Discover how Medicare Advantage can help you live a healthier, more vibrant life.
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