It was with the 2003 Medicare Modernization Act that Medicare Advantage had been created. Medicare Advantage Plans has been designed to permit private carriers such as Humana, United Healthcare, Anthem Blue Cross and others to develop healthcare plans. These are designed for those individuals availing Original Medicare. The plans are to be uninformed for covering what is being provided by Medicare combined with improved benefits like hearing, vision, dental and preventive care.
Such Medicare Advantage Plans for 2019 offers seniors with additional support to reduce overall medical costs. Advantage is considered to be about 17% subsidy besides the 80% payment made by Original Medicare.
It is necessary to meet the given below requirements for being legible to avail Medicare Advantage Plans:
- Need to have Original Medicare Part A
- Need to continue paying Original Medicare Part B
- Need to reside within the plan service area
- Not suffer from End Stage Renal Disease during enrollment time
For understanding the difference, the person is to be assumed to be of 68 years old and require Hip replacement. After initial visit to the physician, the specialist visit as well as surgery including rehabilitation for six months, the medical bills have surged immensely.
Under Original Medicare
- The person is responsible to pay the outstanding 20% out of pocket expense.
- While Medicare is likely to pay 80% of the expenses
How to plan coverage the expenses?
By having only Original Medicare, the expense is huge. It might not be an issue, if only having affordable Medicare Supplement plan. But Americans in millions making payment for supplement is not found to be an option for those on fixed income. Hence, there exists Medicare Advantage Plans.
Under Medicare Advantage Plans
- 80% of expenses will be covered by Original Medicare
- Another 17% to be covered by Medicare Advantage
- Total out of pocket costs will be less.
Those assuming Advantage plans can save a good amount of money on their medical bills should not make haste when selecting a plan. Rather, they should take out sufficient time to understand the different Plan network types. It is here that majority of the seniors are found to make mistakes, as they tend to buy an Advantage plan making price the priority for selection. Selecting the wrong network will only mean having to spend lots of money to avail crucial medical services.
With Medicare Modernization Act being passed in 2003, there was born Medicare Advantage program that is immensely popular today. The best Medicare Advantage Plans of 2018 are known to allow Medicare eligible people suffering from disability and seniors to get proper health coverage from the reputed private health insurance providers.
Medicare Advantage Plans being offered by private insurance providers are of the same benefit like that Part A & B of Medicare. Hospital insurance is covered by Part A, while medical insurance is covered by Part B. Besides the coverage from both out-patient and in-patient services, the Advantage plans tend to cover few prescription drugs. It is for this reason such plans are at times referred to as Part C Medicare. They do combine coverage of Part A, B and D often.
Since Medicare Advantage Plans can be easily accessed, they are regarded to be a popular choice against Original Medicare. Around 25% of Medicare beneficiaries in 2010 alone got enrolled in this plan. From an initial 5.3 million enrollment, the enrollees are found to have doubled, with the numbers only increasing with passing time.
Beneficiaries through these plans are able to expand their existing benefits offered by traditional Medicare. Right from the initiation of the project, the kind of success that Medicare Advantage Plans are said to have among seniors is always a subject of discussion and debate.
High quality care
It has been agreed by the industry experts that such plans offer the beneficiaries with higher care quality, when compared to those fee for service plans offered on delivery of care and hospital use, by using quality measurements that are widely accepted.
With MA plans first data made available way back in 2006, 11 measurements were took to check out the underuse of efficient care. Among the 11 measurements, it was just MA plans that were found to have performed much better than expectations when compared to those fee for service plans. It is only on couple of measurements that fee for service plans were found to have outperformed MA plans.
Another study conducted clearly shows quality improvements received by MA policyholders in healthcare especially those suffering from heart disease and diabetes. Diabetic MA policyholders were found to experience less hospital readmissions including short hospital stays, than those with fee for service plans. The trend was noticed to be quite the same for patients suffering from heart disease.